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Mr. David Pearce Fannon, MPAS,PA-C
Medical Physician Assistant in Tyler, Texas
NPI 1154660975

David Pearce Fannon is a Medical Physician Assistant based in Dallas, TX and is specialized in Medical. David Pearce Fannon practices in Tyler, TX and has the professional credentials of MPAS,PA-C. The NPI Number for David Pearce Fannon is 1154660975 and holds a License No. (Texas).

The current practice location address for David Pearce Fannon is 800 E Dawson St, Tyler, TX and can be reached out via phone at 903-606-4262.

Location: 800 E Dawson St, Tyler, TX, 75231-4316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154660975
Provider Name
David Pearce Fannon
Credential
MPAS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
800 E Dawson St, Tyler, TX, 75231-4316
Phone Number
903-606-4262
Fax Number
Provider Enumeration Date
02/14/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P02592821 01 TX MCRR
P02592787 01 TX MCRR
institution
Provider Business Practice Location Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-606-4262
Fax Number
person
Provider Business Mailing Address Details
Address
800 E Dawson St
City
Tyler
State
Texas
Zip
75701-2036
Phone Number
903-606-4262
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
(Texas)
Definition
Definition to come...
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