National Provider Identifier Database

ELLEN FAN, MD – NPI #1134153646
Geriatric Psychiatry

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.


Contact Information

ELLEN FAN, MD
3308 PRESTON RD
SUITE 350 BOX 242
PLANO, TX75093-7453
Phone: 972-769-8572
Fax: 972-769-8591
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for ELLEN FAN

NPI Number 1134153646
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 06/05/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • TX License #: K8897
  • TX Medicaid: 179655901
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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