Individual
JOHN M FACKLER
Active
Individual
JOHN M FACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K2687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031123501
—
TX
05
—
031123502
—
TX
05
—
031123503
—
TX
01
—
8FB144
BLUE CROSS BLUE SHIELD
TX
01
—
8FX417
BCBS
TX
01
—
P01570351
RR MEDICARE
TX
01
—
P01725660
RR MEDICARE
TX
Enumeration date
08/18/2005
Last updated
05/06/2026
Update your record
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