NPI 1376645283

John Lawrence Fairbanks, MD

Practitioner Urology Physician Flower Mound, TX

Practice location

Address: 4370 Medical Arts Dr Suite 105, Flower Mound, TX 75028-1712
Phone: (214) 394-4500
Fax: (214) 513-2059
Mailing address: 3600 Gaston Ave Suite 1205, Dallas, TX 75246-1800

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence J9018 (TX)

Other Urology providers in Texas →

Registry record

NPI: 1376645283
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2006
Record last updated: 31 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.