Fan, Ellen

Fan, Ellen is an individual health care provider with primary practice located at 3308 Preston Rd Suite 350 Box 242, Plano TX 75093-7453. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as her primary health care specialty. Fan, Ellen can be contacted via phone (972) 769-8572.

Contact Information

Primary practice address
3308 Preston Rd Suite 350 Box 242 Plano TX 75093-7453
Phone: (972) 769-8572
Fax: (972) 769-8591
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1134153646
LBN Legal business name Fan, Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134153646 NPPES
Texas MEDICAID 179655901

Popular Providers