NPI age
20 years
Enumerated 2006-02-13
● Active
Type 1 · Individual
Paul M Fanning, MD
Fanning is 1 of 47 obstetrics & gynecology providers in Tyler and 1 of 4633 in Texas.
Primary specialty
Obstetrics & Gynecology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4633 active obstetrics & gynecology providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
1720 S Beckham Ave Ste 104
Tyler, TX 757014464
Mailing address
Po Box 846098
Dallas, TX 752846098
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1972577419 | |
| 01 (TX) | 123074 | SUPERIOR HEALTH CHIPS |
| 01 (TX) | 75-2616977-136 | TRICARE |
| 05 (TX) | 129809306 | |
| 01 (TX) | 45-2578435-002 | TRICARE |
| 01 (TX) | 83Y684 | BCBS OF TEXAS |
| 01 (TX) | 5623482 | AETNA |
| 01 (TX) | P01572864 | RAIL ROAD MEDICARE |
| 01 (TX) | 752616977022 | HUMAN SOUTH MILITARY TRICARE |
| 01 (TX) | 8FM313 | BCBS |
| 05 (TX) | 129809302 |
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 4633 Obstetrics & Gynecology providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.