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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 Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ELLEN FAN · (Female)

NPI # 1134153646
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 06/05/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • TX License # K8897
  • TX Medicaid 179655901
Hospital affiliation(s) Not Available
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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