ELLEN FAN M D P A

DALLAS, TX
NPI1467890178
Entity TypeOrganization
Authorized ContactELLEN FAN
Physician
972-769-8572
Organization Subpart ?No
Primary Taxonomy2084P0805X 
(Licence: TX  K8897)
Enumeration Date2013-06-05
Last Update Date2025-05-29
Business Address
ELLEN FAN M D P A
8240 MANDERVILLE LN
DALLAS, TX 75231-1104
Phone number: 972-769-8572
Mailing Address
ELLEN FAN M D P A
3308 PRESTON RD SUITE 350 BOX 242
PLANO, TX 75093-7453
Phone number: 972-769-8572