BARBARA ANNE FANNIN (NPI# 1518030071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518030071 |
| Entity Type | Individual |
| Full Name | BARBARA ANNE FANNIN |
| Credential | MD |
| Practice Address |
4101 Marys Creek Dr Fort Worth TX 76116 |
| Practice Telephone | 8172442050 |
| Mailing Telephone | 8172442050 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | D1288 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MED LICENSE | D1288 | 01 |
| TX | P085Y8922 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194916957 | Barbara Ellen Fannin | Psychologist | 4929 Wilshire Blvd, Suite Number 510, Los Angeles, CA 90010-3808 | 2007-08-07 |
| Street Address |
4101 MARYS CREEK DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147912 | Earnest A Porter | General Practice | 6324 Glenwick Dr, Fort Worth, TX 76123-1565 | 2020-06-07 |
| 1386200889 | Wholelife Authentic Care Provider Network | General Practice | 1000 Bonnie Brae Ave Ste 120, Fort Worth, TX 76111-4301 | 2019-05-10 |
| 1336681170 | Dynamic Rpa Healthcare Pa | General Practice | 3750 S University Dr Ste 275, Fort Worth, TX 76109-3795 | 2016-11-10 |
| 1588906218 | Susan Moses Shropshire | General Practice | 4812 Camp Bowie Blvd, Suite B, Fort Worth, TX 76107-4121 | 2013-03-20 |
| 1376817932 | Gordon Patterson Sharratt | General Practice | 3605 Roberts Cut Off Rd, Fort Worth, TX 76114-1039 | 2012-02-29 |
| 1063785665 | Linda Atlas Reese | General Practice | 1001 N Rhea Dr, Fort Worth, TX 76108-3565 | 2012-02-14 |
| 1962711036 | Larry Edwin Bradley | General Practice | 7016 Riverport Rd, Fort Worth, TX 76116-9311 | 2010-10-06 |
| 1922210996 | Paul Lyndon Patrick | General Practice | 14805 Trinity Blvd, Fort Worth, TX 76155-2609 | 2007-05-04 |
| 1477607240 | H Pena Md North Main Medical and Surgical Clinic Assoc | General Practice | 3301 North Main Street, Fort Worth, TX 76106 | 2007-01-22 |
| 1083799209 | Chironet, L.L.C. | General Practice | 3149 Lackland Rd, #104, Fort Worth, TX 76116-4109 | 2006-10-26 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76116 |
Please comment or provide details below to improve the information on BARBARA ANNE FANNIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.