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Contact Information

FONDA CHAN
8390 LYNDON B JOHNSON FWY STE 1000
DALLAS, TX75243-1288
 Phone: 214-750-9977
 Fax: 214-750-9983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FONDA CHAN · (Female)

NPI # 1831446665
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2012
Last updated 10/21/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 252590
  • TX License # R6985
Hospital affiliation(s)
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
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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