National Provider Identifier Database

ELLEN FAN M D P A
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 M D P A
8240 MANDERVILLE LN
DALLAS, TX75231-1104
Phone: 972-769-8572
Fax: 972-769-8591
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for ELLEN FAN M D P A

NPI Number 1467890178
Legal business name
LBN
ELLEN FAN M D P A
Authorized official ELLEN FAN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 06/05/2013
Last updated 05/29/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: K8897
  • TX Medicaid: 179654201

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.

Reviews for ELLEN FAN M D P A

There are currently no reviews for ELLEN FAN M D P A


NPIdb - Home
v2.201