Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ALLEN FANNING, SA-C
ActiveMARK ALLEN FANNING, SA-C is a Medical Laboratory Technician healthcare provider located in GLENN ROSE, Texas. NPI 1386829281 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · GLENN ROSE, TX
Registration Details
- NPI Number
- 1386829281
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2008 (18.580775991648 yrs)
- Last Updated
- Jan 9, 2008
- License
-
05-144 (TX)
Practice Information
- Address
-
408 GLENNWOODGLENN ROSE, TX, 76043Browse TX providers · Browse ZIP 76043
- Phone
- 2548971445
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.