Grant T Fankhauser in Dallas - Vascular Surgery
Grant T Fankhauser - NPI 1831121532
Grant T Fankhauser is a Vascular Surgery in Dallas, Texas. Grant T Fankhauser practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Grant T Fankhauser is 1831121532. The last update date is 2023-04-18.
Grant T Fankhauser's current location address is Po Box 208313, Dallas, Texas. You can contact this provider via phone number 5207705030 and fax number 5205094496. The mailing address for Grant T Fankhauser is Po Box 208313, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grant T Fankhauser |
|---|---|
| Address | Po Box 208313, Dallas, Texas |
| Phone Number | 5207705030 |
| Fax Number | 5205094496 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831121532 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2023-04-18 |
Provider Mailing Address Detail
| Address | Po Box 208313 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 753208313 |
| Phone Number | 5207705030 |
| Fax Number | 5205094496 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 37503 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 705707 | AZ | -- |
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What is the Grant T Fankhauser's unique identification number?
The Grant T Fankhauser has been assigned the NPI (National Provider Identifier) Number 1831121532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Grant T Fankhauser?
The Grant T Fankhauser is physically situated at Po Box 208313, in the city of Dallas, state of TX, with the postal code 753208313.
What is Grant T Fankhauser's specialized field of practice, and what is the corresponding taxonomy classification code?
The Grant T Fankhauser's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
When was the Grant T Fankhauser's 1831121532 issued?
The Grant T Fankhauser's 1831121532 was issued on 2006-07-06.
When was the Grant T Fankhauser's information last updated?
The Grant T Fankhauser's information was last updated on 2023-04-18.
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