Jeffrey J. Fanning in Dallas - Pediatric Critical Care Medicine
Jeffrey J. Fanning - NPI 1962442087
Jeffrey J. Fanning is a Pediatric Critical Care Medicine in Dallas, Texas. Jeffrey J. Fanning practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Jeffrey J. Fanning is 1962442087. The last update date is 2020-03-09.
Jeffrey J. Fanning's current location address is Po Box 515055, Dallas, Texas. You can contact this provider via phone number 9725668340 and fax number 9725668338. The mailing address for Jeffrey J. Fanning is Po Box 515055, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey J. Fanning |
|---|---|
| Address | Po Box 515055, Dallas, Texas |
| Phone Number | 9725668340 |
| Fax Number | 9725668338 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962442087 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2020-03-09 |
Provider Mailing Address Detail
| Address | Po Box 515055 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752515055 |
| Phone Number | 9725668340 |
| Fax Number | 9725668338 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 48843 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34843900 | WI | -- | |
| 204410903 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeffrey J. Fanning by the Centers for Medicare & Medicaid Services?
The Jeffrey J. Fanning has been assigned the NPI (National Provider Identifier) 1962442087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jeffrey J. Fanning?
The Jeffrey J. Fanning is situated at Po Box 515055, in the city of Dallas, state of TX, with the zip code 752515055.
What is the Jeffrey J. Fanning's specialty and taxonomy code?
The Jeffrey J. Fanning's specialty is Pediatric Critical Care Medicine, and the corresponding taxonomy code is 2080P0203X.
On what date did the Jeffrey J. Fanning receive the assignment of its 1962442087 from the Centers for Medicare & Medicaid Services?
The Jeffrey J. Fanning was issued its 1962442087 by the Centers for Medicare & Medicaid Services on 2006-06-07.
As of what date were the details pertaining to Jeffrey J. Fanning last refreshed?
The information related to the Jeffrey J. Fanning, including its address, specialty, and other relevant details, was last updated on 2020-03-09.