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Individual
DR. STEPHEN FAEHNLE
Active
Individual
DR. STEPHEN FAEHNLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F0997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112460100
FIRSTCARE HMO
TX
05
—
121502202
—
TX
01
—
122441
CHIP
TX
01
—
86X081
BCBS
TX
Enumeration date
08/09/2006
Last updated
05/02/2008
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