JON S. FANNIN

KERRVILLE, TX
NPI1376582551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  R43299)
Enumeration Date2006-06-05
Last Update Date2007-10-23
Business Address
-- JON S. FANNIN CRNA
710 WATER ST
KERRVILLE, TX 78028-5329
Phone number: 830-896-1344
Mailing Address
-- JON S. FANNIN CRNA
420 WATER ST 105-B
KERRVILLE, TX 78028-5200
Phone number: 830-896-1344