WILL ROYDEN FANNING III


Address: 13600 Fishing Hole Ln, Haslet, TX 76052-4853
Phone: 8177791778

WILL ROYDEN FANNING III (NPI# 1346897766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346897766
Entity Type Individual
Full Name WILL ROYDEN FANNING III
Practice Address 13600 Fishing Hole Ln
Haslet
TX 76052-4853
Practice Telephone 8177791778
Mailing Telephone 8177791778
Enumeration Date 2019-08-20
Last Update Date 2019-08-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 13600 FISHING HOLE LN
City HASLET
State TX
Zip Code 76052-4853

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NPI Name Taxonomy Address Enumeration
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1972943355 Wal-mart Stores Texas, LLC Technician/Technologist 2401 Avondale Haslet, Fort Worth, TX 76052 2013-06-28
1356784110 Pediatric Dentistry of Haslet, P.C. Dentist 544 Fm 156 South, Suite 100, Haslet, TX 76052 2013-04-11
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

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1689288011 Ysauro Maldonado Jr. Technician 17827 Abd Rd, Harlingen, TX 78552-1752 2020-09-02
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Competitor

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City HASLET
Zip Code 76052

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Dataset Information

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.

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