Tan, Frederick S
Tan, Frederick S is an sole proprietor health care provider with primary practice located at 2801 E 29Th St Ste 117, Bryan TX 77802-2618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Tan, Frederick S can be contacted via phone (979) 774-3960.Contact Information
Primary practice address
2801 E 29Th St Ste 117
Bryan TX 77802-2618
Phone: (979) 774-3960
Fax: (979) 774-4506
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | K8511 | Texas |
Profile Details
NPI number | 1689698615 |
---|---|
LBN Legal business name | Tan, Frederick S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 26th, 2006 |
Last updated | Feb 2nd, 2012 - about 13 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 | 1689698615 | NPPES |
Other | 0017GC | BLUE CROSS BLUE SHILED | |
Other | 390007453 | BLUE CROSS BLUE SHILED |
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