Individual
MR. CARL ALAN FECHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2407 WSW LOOP 323, TYLER, TX 75701-9208
(903) 581-8844
(903) 584-9845
Mailing address
200 ROBINWOOD DR, WHITEHOUSE, TX 75791-3010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
45638
SC
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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