● Active Type 1 · Individual

Paul M Fanning, MD

Obstetrics & Gynecology·Tyler, TX· NPI 1972577419 · Enumerated 2006 · 20 years on NPI

Fanning is 1 of 47 obstetrics & gynecology providers in Tyler and 1 of 4633 in Texas.

NPI age

20 years

Enumerated 2006-02-13

Primary specialty

Obstetrics & Gynecology

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2022-07-21

Source: monthly bulk 2026-05

Sole proprietor

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

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

📞 9035972002

Mailing address

Po Box 846098

Dallas, TX 752846098

📞 9033246450

Specialties

Allopathic & Osteopathic Physicians › Obstetrics & Gynecology

Obstetrics & Gynecology Primary

An 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...

TX license #J6425 taxonomy 207V00000X

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.

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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.