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1619405784
JERRY FAN
TEMPLE, TX
NPI
1619405784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: TX S4629)
Enumeration Date
2017-06-01
Last Update Date
2024-07-25
Business Address
Dr. JERRY FAN MD
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
Dr. JERRY FAN MD
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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