Individual provider · Type 1 NPI

Jeffrey J. Fanning, MD

Pediatric Critical Care Medicine Physician · Dallas, TX

NPI number 1962442087 Active

Practice location

7777 Forest Ln Ste D569
Dallas, TX 75230-6903

Call (972) 566-8340 Map

Fax (972) 566-8338

Mailing address

PO Box 515055
Dallas, TX 75251-5055

Other practice locations

  • 835 S Van Buren St, Green Bay, WI 54301-3526 · (920) 496-4700
  • 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 · (260) 266-5400

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician 2080P0203X48843 (WI)
Pediatric Critical Care Medicine Physician 2080P0203X01096987A (IN)
Pediatric Critical Care Medicine Physician Primary 2080P0203XN1317 (TX)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

3 other providers at this address

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About NPI 1962442087

Jeffrey J. Fanning, MD's National Provider Identifier is 1962442087, issued on Jun 7, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Dallas, TX. The record was last updated on Aug 11, 2025.