Frederick S Tan Md

NPI 1700918224 - Internal Medicine - 207RN0300X

NPI Details
NPI 1700918224
Enumeration Date 03/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FREDERICK FREDERICK
Position MD
Phone (979) 775-9483
Fax (979) 775-9557
Practice Location
1705 E 29TH ST
BRYAN TX, 77802-1406, US
Phone (979) 775-9483
Fax (979) 775-9557
Business Location
1705 E 29TH ST
BRYAN TX, 77802-1406, US
Phone (979) 775-9483
Fax (979) 775-9557
Toxanomy
Taxonomy Code 207RN0300X
License State Texas
License Number K8511
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According to our database, Frederick S Tan Md NPI is 1700918224, taxonomy code is 207RN0300X and license number is K8511, license state is located at Texas. Frederick S Tan Md physically located at 1705 E 29th St, Bryan TX, 77802-1406. NPI Number 1033115704 has the healthcare provider type.

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1700918224 NPI number is provided on an as is basis without warranty of any kind. 1700918224 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick S Tan Md are for informational purposes only.