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1568837425
MICHAEL JAMES FANNING
DALLAS, TX
NPI
1568837425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA10346)
Enumeration Date
2015-12-03
Last Update Date
2019-08-26
Business Address
Mr. MICHAEL JAMES FANNING PA-C
2001 INWOOD RD
DALLAS, TX 75390-7201
Phone number: 214-645-2800
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Mailing Address
Mr. MICHAEL JAMES FANNING PA-C
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-2800
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