NPI age
18 years
Enumerated 2008-01-09
● Active
Type 1 · Individual
Mark Allen Fanning, SA-C
Fanning is 1 of 1 specialist/technologist, other providers in Glenn Rose and 1 of 387 in Texas.
Primary specialty
Specialist/Technologist, Other
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-01-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 387 active specialist/technologist, other providers in Texas.
NPI age
18 years
↑ 2 yr above median (16 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
4% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-01Enumerated in NPPES
2008
2026
Where they practice
Practice location
408 Glennwood
Glenn Rose, TX 76043
Mailing address
408 Glennwood, P.o. Box 3129
Glenn Rose, TX 76043
Specialties
-
Specialist/Technologist, Other PrimarySurgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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