Individual provider · Type 1 NPI

David Pearce Fannon, MPAS, PA-C

Medical Physician Assistant · Tyler, TX

NPI number 1154660975 Active

Practice location

800 E Dawson St
Tyler, TX 75701-2036

Call (903) 606-4262 Map

Mailing address

8198 Walnut Hill Ln, Suite 2007
Dallas, TX 75231-4316

Other practice locations

  • 8198 Walnut Hill Ln, Suite 2007, Dallas, TX 75231-4316 · (214) 345-4733

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XPA08166 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1154660975

David Pearce Fannon, MPAS, PA-C's National Provider Identifier is 1154660975, issued on Feb 14, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tyler, TX. The record was last updated on Apr 6, 2021.