Steven Earl Fandre is a Medical in Irving, Texas. Steven Earl Fandre practices all healthcare services and medical treatments related to Medical. The NPI Number for Steven Earl Fandre is 1891847182. The last update date is 2007-07-08.
Steven Earl Fandre's current location address is 1322 Lakeridge Ln, Irving, Texas. You can contact this provider via phone number 2148505377. The mailing address for Steven Earl Fandre is 1322 Lakeridge Ln, Irving, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Earl Fandre |
|---|---|
| Address | 1322 Lakeridge Ln, Irving, Texas |
| Phone Number | 2148505377 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1891847182 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1322 Lakeridge Ln |
|---|---|
| City | Irving |
| State | Texas (TX) |
| Post Code | 750635079 |
| Phone Number | 2148505377 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00241 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Steven Earl Fandre by the Centers for Medicare & Medicaid Services?
The Steven Earl Fandre has been assigned the NPI (National Provider Identifier) 1891847182 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Steven Earl Fandre?
The Steven Earl Fandre is situated at 1322 Lakeridge Ln, in the city of Irving, state of TX, with the zip code 750635079.
What is Steven Earl Fandre's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Steven Earl Fandre is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Steven Earl Fandre receive the assignment of its 1891847182 from the Centers for Medicare & Medicaid Services?
The Steven Earl Fandre was issued its 1891847182 by the Centers for Medicare & Medicaid Services on 2007-01-17.
As of what date were the details related to Steven Earl Fandre most recently updated or revised?
The information pertaining to Steven Earl Fandre, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.