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 2620 Communications Pkwy Attn Dr. Fan, Plano TX 75093-8800. 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
2620 Communications Pkwy Attn Dr. Fan
Plano TX 75093-8800
Phone: (972) 769-8572
Fax: (972) 769-8591
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | K8897 | Texas |
Profile Details
NPI number | 1982742276 |
---|---|
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 | Feb 1st, 2007 |
Last updated | Feb 14th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982742276 | NPPES |
Texas | MEDICAID | 179654201 |
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