Fannon, David Pearce

Fannon, David Pearce is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Fannon, David Pearce can be contacted via phone (903) 606-4262.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 606-4262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA08166 Texas

Profile Details

NPI number 1154660975
LBN Legal business name Fannon, David Pearce
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2013
Last updated Apr 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154660975 NPPES
Texas Other P02592821 MCRR
Texas Other P02592787 MCRR

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