Individual
JOHN M FACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17183 INTERSTATE 45 S, SUITE 210, SHENANDOAH, TX 77385-3312
(936) 321-8000
(936) 271-0122
Mailing address
17183 INTERSTATE 45 S STE 210, SHENANDOAH, TX 77385-3313
(936) 321-8000
(936) 271-0122
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us