Peng, Fangyu
Peng, Fangyu is an individual health care provider with primary practice located at 5323 Harry Hines Blvd Ne3.240, Dallas TX 75390-8542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Peng, Fangyu can be contacted via phone (214) 645-2625.Contact Information
Primary practice address
5323 Harry Hines Blvd Ne3.240
Dallas TX 75390-8542
Phone: (214) 645-2625
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | N1833 | Texas |
Profile Details
| NPI number | 1962449561 |
|---|---|
| LBN Legal business name | Peng, Fangyu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Feb 1st, 2021 - about 4 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 | 1962449561 | NPPES |
| Texas | Other | M76490221 | MIDICARE PROVIDER NUMBER |
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