Fang, Suat Cheng Go
Fang, Suat Cheng Go is an sole proprietor health care provider with primary practice located at 3804 21St St Ste C , Lubbock TX 79410-1012. She recently has 4 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization, Managed Care Organizations / Point of Service. Managed Care Organizations / Exclusive Provider Organization is her primary health care specialty. Fang, Suat Cheng Go can be contacted via phone (806) 795-9326.Contact Information
Primary practice address
3804 21St St Ste C
Lubbock TX 79410-1012
Phone: (806) 795-9326
Fax: (806) 795-4835
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Managed Care Organizations / Exclusive Provider Organization | 302F00000X | Texas | |
Managed Care Organizations / Health Maintenance Organization | 302R00000X | Texas | |
Managed Care Organizations / Preferred Provider Organization | 305R00000X | Texas | |
Managed Care Organizations / Point of Service | 305S00000X | Texas |
Profile Details
NPI number | 1124035324 |
---|---|
LBN Legal business name | Fang, Suat Cheng Go |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 1st, 2006 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124035324 | NPPES |
Texas | Other | 00BK52 | BLUE CROSS BLUE SHIELD ID |
Texas | Other | 2315562 | BLUE CROSS BLUE SHIELD ID |
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