Dyanna Marie Fountain, MD

NPI #1114410842 in Killeen, Texas

Provider Information

NPI Number: 1114410842
Entity Type: Individual
Name: Dyanna Marie Fountain, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 7, 2018
Last Updated: Aug 10, 2021

Practice Location

Address: 5702 E CENTRAL TEXAS EXPY
City: Killeen
State: Texas
ZIP Code: 76543-5500
Phone: (254) 680-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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