Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mathias Fagan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740128503

Mathias Fagan is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

910 Madison Ave Ste 1002
Memphis, TN 38103-3487
Phone: (901) 448-5529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1740128503
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address910 Madison Ave Ste 1002, Memphis, TN 38103-3487

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