Paul M Fanning, MD Valid NPI

Individual provider · Obstetrics & Gynecology Physician · Tyler, TX

NPI

1972577419

Type

Individual (Type 1)

Primary specialty

Obstetrics & Gynecology Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207V00000X

License number

J6425 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-13

Last updated

2022-07-21