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

Mr. Jeffrey J. Fanning, MD

Individual provider Pediatric Critical Care Medicine Physician · NPI 1962442087

Mr. Jeffrey J. Fanning, MD is a Pediatric Critical Care Medicine Physician in Dallas, Texas. Works from 3 locations. Licensed in Indiana, Texas and Wisconsin.

Licensed in
IN, TX, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7777 Forest Ln Ste D569
Dallas, TX 75230-6903
Phone: (972) 566-8340
Fax: (972) 566-8338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 — (260) 266-5400
  • 835 S Van Buren St, Green Bay, WI 54301-3526 — (920) 496-4700

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence N1317 (TX)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 48843 (WI)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 01096987A (IN)

Record details

NPI number1962442087
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

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