Hagen, Conor

Hagen, Conor is an individual health care provider with primary practice located at 4100 Everett Dr Suite 400, Kyle TX 78640-6146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hagen, Conor can be contacted via phone (512) 295-1333.

Contact Information

Primary practice address
4100 Everett Dr Suite 400 Kyle TX 78640-6146
Phone: (512) 295-1333
Fax: (512) 295-1335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X LL32790 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X P6973 Texas

Profile Details

NPI number 1790006708
LBN Legal business name Hagen, Conor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2010
Last updated May 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790006708 NPPES
Texas MEDICAID 322913001
Texas MEDICAID 322913002

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