Search › Texas › Pediatric Critical Care Medicine Physician
Jeffrey Fanning, MD
NPI 1962442087 · on the registry since 2006
Practice
- Address
- 7777 Forest Ln Ste D569
Dallas, TX 75230 - Phone
- (972) 566-8340
- Fax
- (972) 566-8338
- Organisation at this address
- Proassist
Walgreen Co
Walgreen Co
Repitest Pa
Love WoundsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 668
Additional practice sites
- 835 S Van Buren St, Green Bay, WI
- 11115 Parkview Plaza Dr, Fort Wayne, IN
Registry record
- Primary taxonomy
- Pediatric Critical Care Medicine Physician
2080P0203X
- Also registered as
- Pediatric Critical Care Medicine Physician
Pediatric Critical Care Medicine Physician - Licence states on file
- WI, IN, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas