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Dr. Jeffrey A Fearon, MD,FACS
Plastic and Reconstructive Surgery Physician in Dallas, Texas
NPI 1538113592

Jeffrey A Fearon is a Plastic and Reconstructive Surgery Physician based in Dallas, TX and is specialized in Plastic and Reconstructive Surgery. Jeffrey A Fearon practices in Dallas, TX and has the professional credentials of MD,FACS. The NPI Number for Jeffrey A Fearon is 1538113592 and holds a License No. H8638 (Texas).

The current practice location address for Jeffrey A Fearon is 7777 Forest Ln Ste C700, Dallas, TX and can be reached out via phone at 972-566-6464 and via fax at 972-566-6279.

Location: 7777 Forest Ln Ste C700, Dallas, TX, 75230-2518
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Provider Profile Details
NPI Number
1538113592
Provider Name
Jeffrey A Fearon
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
7777 Forest Ln Ste C700, Dallas, TX, 75230-2518
Phone Number
972-566-6464
Fax Number
972-566-6279
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E1668 05 MN
10010045 05 TX
00X682 01 TX MEDICARE GROUP PTAN
118956501 05 TX
1921297 05 LA
208847509 05 MO
91863803 05 CO
0722264 01 IA IOWA MEDICAID
8F5212 01 TX MEDICARE INDIVIDUAL PTAN
118956502 05 TX
3858 05 TX
5542707 01 TX AETNA
093725201 05 TX
86J892 01 TX BC/BS PROVIDER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
7777 Forest Ln Ste C700
City
State
Zip
75230-2518
Phone Number
972-566-6464
Fax Number
972-566-6279
person
Provider Business Mailing Address Details
Address
7777 Forest Ln Ste C700
City
State
Zip
75230-2518
Phone Number
972-566-6464
Fax Number
972-566-6279
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
H8638 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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