Individual provider · Type 1 NPI

Shana Fakkel, PA

Medical Physician Assistant · Dallas, TX

NPI number 1659612752 Active

Practice location

11910 Greenville Ave, Suite 500
Dallas, TX 75243-3596

Fax (214) 572-7724

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1659612752

Shana Fakkel, PA's National Provider Identifier is 1659612752, issued on Mar 14, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Mar 14, 2013.