| NPI Details | |
|---|---|
| NPI | 1770587016 |
| Gender | Male |
| Enumeration Date | 06/01/2005 |
| Last Updated | 11/01/2007 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 4916 OVERTON PLZ FORT WORTH TX, 76109-4415, US |
|
| Phone | (800) 257-2298 |
| Fax | (817) 877-0350 |
| Business Location | |
|---|---|
| 4916 OVERTON PLZ FORT WORTH TX, 76109-4415, US |
|
| Phone | (800) 257-2298 |
| Fax | (817) 877-0350 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207L00000X |
| License State | Texas |
| License Number | J0823 |
| Remove 1770587016 NPI Number | |
According to our database, Xiao-en Fang M.D. NPI is 1770587016, taxonomy code is 207L00000X and license number is J0823, license state is located at Texas. Xiao-en Fang M.D. physically located at 4916 Overton Plz, Fort Worth TX, 76109-4415. NPI Number Xiao-en Fang M.D. has the Individual type.
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1770587016 NPI number is provided on an as is basis without warranty of any kind. 1770587016 is maintained by the National Plan & Provider Enumeration System. The contents of Xiao-en Fang M.D. are for informational purposes only.
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