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Dr. Wayne A Fagan, MD
MOHS-Micrographic Surgery Physician in Corpus Christi, Texas
NPI 1942206180

Wayne A Fagan is a MOHS-Micrographic Surgery Physician based in Corpus Christi, TX and is specialized in MOHS-Micrographic Surgery. Wayne A Fagan practices in Corpus Christi, TX and has the professional credentials of MD. The NPI Number for Wayne A Fagan is 1942206180 and holds a License No. 45D0913782 (Texas).

The current practice location address for Wayne A Fagan is 4141 S. Staples Suite 300, Corpus Christi, TX and can be reached out via phone at 361-882-5560 and via fax at 361-882-6011. You can also correspond with Wayne A Fagan through the mailing address at 4141 S. STAPLES SUITE 300, CORPUS CHRISTI, TX - 78411-2155 (mailing address contact number: 361-882-5560).

Location: 4141 S. Staples Suite 300, Corpus Christi, TX, 78411-2155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942206180
Provider Name
Wayne A Fagan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4141 S. Staples Suite 300, Corpus Christi, TX, 78411-2155
Phone Number
361-882-5560
Fax Number
361-882-6011
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86470Y 01 TX BLUE CROSS
0040EE 01 TX BLUE CROSS BLUE SHIELD
080856001 05 TX
070017610 01 TX MEDICARE RAILROAD
1356536494 01 TX GROUP NPI #
CK7292 01 TX MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
4141 S. Staples Suite 300
City
Corpus Christi
State
Texas
Zip
78411-2929
Phone Number
361-882-5560
Fax Number
361-882-6011
person
Provider Business Mailing Address Details
Address
4141 S. Staples Suite 300
City
Corpus Christi
State
Texas
Zip
78411-2929
Phone Number
361-882-5560
Fax Number
361-882-6011
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
J4105 (Texas)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Dermatopathology
Taxonomy
207ND0900X
License No.
45D0913782 (Texas)
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
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