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1316902281
OLIVER WILLIAM FANNIN
AUSTIN, TX
NPI
1316902281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX J7324)
Enumeration Date
2006-04-20
Last Update Date
2009-06-25
Business Address
-- OLIVER WILLIAM FANNIN MD
601 E 15TH ST
AUSTIN, TX 78701-1930
Phone number: 512-324-7000
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Mailing Address
-- OLIVER WILLIAM FANNIN MD
807 CEDAR PARK DR
AUSTIN, TX 78746-4517
Phone number:
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