Provider Demographics
NPI:1225095037
Name:HAGMAN, JOSEPH EDWARD RAMON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EDWARD RAMON
Last Name:HAGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8135 FOREST LN # 515057
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2472
Mailing Address - Country:US
Mailing Address - Phone:469-850-5760
Mailing Address - Fax:
Practice Address - Street 1:4001 LONG PRAIRIE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1525
Practice Address - Country:US
Practice Address - Phone:972-874-3900
Practice Address - Fax:972-874-3903
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH99702085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX047909901Medicaid
TXTXB155426OtherGROUP MEDICARE PTAN
TX121715004Medicaid
TX047909902Medicaid
TX292521OtherGROUP MEDICARE PTAN
TXTXB156437OtherGROUP MEDICARE PTAN
TX340731OtherGROUP MEDICARE PTAN
TX285250104Medicaid
TX121715008Medicaid
TX322647YMZSMedicare PIN
TX00J062Medicare UPIN
TXTXB120694Medicare UPIN
TX121715004Medicaid
TX285250104Medicaid
TX121715008Medicaid
TX340731OtherGROUP MEDICARE PTAN
TX322647YUAVMedicare PIN
TX322647YY2GMedicare PIN
TX89R213Medicare PIN