Individual
MICHELLE A. FANALE
Active
Individual
MICHELLE A. FANALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
L3962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110247258
RR MEDICARE
TX
05
—
156019501
—
TX
01
—
8G8497
BCBS
TX
Enumeration date
10/04/2006
Last updated
06/29/2012
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