Healthcare Provider Details

I. General information

NPI: 1184006710
Provider Name (Legal Business Name): MEGAN ELIZABETH PAGAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN PENNINGTON

II. Dates (important events)

Enumeration Date: 06/19/2015
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 MEDICAL CENTER ROAD
FORT HOOD TX
76544
US

IV. Provider business mailing address

590 MEDICAL CENTER ROAD BUILDING 36065
FORT HOOD TX
76544
US

V. Phone/Fax

Practice location:
  • Phone: 254-288-8109
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberE-15235
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberE-15235
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: