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General NPI Number Information
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NPI Number | 1861467003
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Entity Type | Individual
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Provider Name | MICHAEL PHILIP HAGAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1301 S COULTER ST STE 100
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City | AMARILLO
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State | TX
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Zip | 79106-1764
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Country | US
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Telephone | 63-540-9508
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Fax | 806-356-1935
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Provider Business Mailing Address
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Address Line | 1900 MEDI PARK DR
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City | AMARILLO
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State | TX
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Zip | 79106-2187
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Country | US
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Telephone | 806-355-9447
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Fax | 806-354-8662
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 0101057220
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | H8983
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | H8983
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | ME69679
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 78485
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 0101057220
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License Number State | VA
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