Individual
DR. CHRISTOPHER DRENNAN FETNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN STE A315, DALLAS, TX 75230-2579
(972) 566-7772
(972) 566-7703
Mailing address
7777 FOREST LN, STE A315, DALLAS, TX 75230-2579
(972) 566-7772
(972) 566-4656
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E0003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110236004
—
TX
05
—
110236005
—
TX
01
—
8M6738
BCBS
TX
01
—
P00275099
RR MEDICARE
TX
Enumeration date
04/07/2006
Last updated
08/28/2019
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