Ellen Fan M D P A

LBN: Ellen Fan M D P A
Ellen Fan M D P A is an health care organization with primary practice located at 1301 Richardson Dr , Richardson TX 75080-4648. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as the primary health care specialty. Ellen Fan M D P A can be contacted via phone (972) 769-8572, or through Fan, Ellen via phone (972) 769-8572.

Contact Information

Primary practice address
1301 Richardson Dr Richardson TX 75080-4648
Phone: (972) 769-8572
Fax: (972) 769-8591
Website:
Map and Directions
Authorized official contact:
Name: Fan, Ellen Doctor of Medicine (MD)
Phone: (972) 769-8572

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X K8897 Texas

Profile Details

NPI number 1467890178
LBN Legal business name Ellen Fan M D P A
DBA Doing business as
Authorized official Fan, Ellen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2013
Last updated Jun 5th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467890178 NPPES
Texas MEDICAID 179654201

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