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1982621595
DOMINGO K TAN
FORT WORTH, TX
NPI
1982621595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TX H0872)
Enumeration Date
2006-07-17
Last Update Date
2015-12-31
Business Address
-- DOMINGO K TAN MD
6100 HARRIS PARKWAY, SUITE 270
FORT WORTH, TX 76132-4132
Phone number: 817-433-5658
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Mailing Address
-- DOMINGO K TAN MD
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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