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Individual
DR. TUYET M FANNIN
Active
Individual
DR. TUYET M FANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078MY
BCBS
TX
05
—
177926610
—
TX
01
—
203354081
TAX ID
TX
Enumeration date
10/05/2005
Last updated
08/27/2018
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