Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fallen Tree Corp

Organization Emergency Medicine Physician · NPI 1841467727

Fallen Tree Corp is an Emergency Medicine Physician in Manor, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
Specialties on file
4
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11416 Runnel Ridge Rd
Manor, TX 78653-3874
Phone: (512) 760-0666
Fax: (866) 265-1725
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence D9687 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence DD9687 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence DD9687 (TX)
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1841467727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peyton Thompson — Owner, President · (512) 760-0666
NPI enumeratedMay 10, 2008
Last updated in NPPESSeptember 6, 2023
Mailing address11416 Runnel Ridge Rd, Manor, TX 78653-3874

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