JERRY FAN

TEMPLE, TX
NPI1619405784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TX  S4629)
Enumeration Date2017-06-01
Last Update Date2021-12-09
Business Address
Dr. JERRY FAN MD
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
Mailing Address
Dr. JERRY FAN MD
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: