FONDA CHAN

DALLAS, TX
NPI1831446665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: TX  R6985)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MA  252590)
Enumeration Date2012-08-10
Last Update Date2020-10-21
Business Address
FONDA CHAN
8390 LYNDON B JOHNSON FWY STE 1000
DALLAS, TX 75243-1288
Phone number: 214-750-9977
Mailing Address
FONDA CHAN
80 GARDNER ST APT 11
ALLSTON, MA 02134-2236
Phone number: 410-258-8336