Mark Allen Fanning, SA-C
Mark Allen Fanning, SA-C is a Surgical Technologist in Glenn Rose, Texas. Licensed in Texas. Registered with an NPI since 2008.
- Licensed in
- TX
- In the registry since
- 2008
Practice location Address checks out
408 GlennwoodGlenn Rose, TX 76043
Phone: (254) 897-1445
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Technologist (primary) | Taxonomy 246ZS0410X · Licence 05-144 (TX) |
|---|
Record details
| NPI number | 1386829281 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SA-C |
| Sole proprietor | No |
| NPI enumerated | January 9, 2008 |
| Last updated in NPPES | January 9, 2008 |
| Mailing address | 408 Glennwood, P.O. Box 3129, Glenn Rose, TX 76043 |