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Individual

CHRISTINA V. FANNING

Active
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Individual

CHRISTINA V. FANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
G8594
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036692401 (MDACC)
TX
01
220009611 (MDACC)
RR MEDICARE
TX
01
800848
BCBS (MDACC)
TX
05
P08008487
TX
Enumeration date
10/04/2006
Last updated
06/29/2012
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