person
Paul M Fanning, MD
Obstetrics & Gynecology Physician in Tyler, Texas
NPI 1972577419

Paul M Fanning is a Obstetrics & Gynecology Physician based in Dallas, TX. Paul M Fanning practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Paul M Fanning is 1972577419 and holds a License No. J6425 (Texas).

The current practice location address for Paul M Fanning is 1720 S Beckham Ave Ste 104, Tyler, TX and can be reached out via phone at 903-597-2002.

Location: 1720 S Beckham Ave Ste 104, Tyler, TX, 75284-6098
person
Provider Profile Details
NPI Number
1972577419
Provider Name
Paul M Fanning
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1720 S Beckham Ave Ste 104, Tyler, TX, 75284-6098
Phone Number
903-597-2002
Fax Number
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972577419 05 TX
123074 01 TX SUPERIOR HEALTH CHIPS
75-2616977-136 01 TX TRICARE
129809306 05 TX
45-2578435-002 01 TX TRICARE
83Y684 01 TX BCBS OF TEXAS
5623482 01 TX AETNA
P01572864 01 TX RAIL ROAD MEDICARE
752616977022 01 TX HUMAN SOUTH MILITARY TRICARE
8FM313 01 TX BCBS
129809302 05 TX
institution
Provider Business Practice Location Address Details
Address
1720 S Beckham Ave Ste 104
City
State
Zip
75701-4464
Phone Number
903-597-2002
Fax Number
person
Provider Business Mailing Address Details
Address
1720 S Beckham Ave Ste 104
City
State
Zip
75701-4464
Phone Number
903-597-2002
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
J6425 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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