Wayne Bradshaw Fancher Iii, DPT, PT - Physical Therapist in Tyler, TX

Wayne Bradshaw Fancher Iii, DPT, PT is a Physical Therapist based in Tyler, Texas. Wayne Bradshaw Fancher Iii is licensed to practice in Texas (license number 1261465) and his current practice location is 11466 Honor Ln, Tyler, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 617-6150.

NPI number for Wayne Bradshaw Fancher Iii is 1992214209 and his current mailing address is 314 Mount Sylvan St, Lindale, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992214209.

Contact Information

Wayne Bradshaw Fancher Iii, DPT, PT
11466 Honor Ln,
Tyler, TX 75708-3296
(903) 617-6150
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameWayne Bradshaw Fancher Iii
GenderMale
SpecialityPhysical Therapist
Location11466 Honor Ln, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992214209
  • Provider Enumeration Date: 09/29/2017
  • Last Update Date: 03/17/2018

Medical Identifiers

Medical identifiers for Wayne Bradshaw Fancher Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992214209NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1261465 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wayne Bradshaw Fancher Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wayne Bradshaw Fancher Iii, DPT, PT
314 Mount Sylvan St,
Lindale, TX 75771-6234

Ph: () -
Wayne Bradshaw Fancher Iii, DPT, PT
11466 Honor Ln,
Tyler, TX 75708-3296

Ph: (903) 617-6150

Reviews and Comments


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