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Ellen Fan M D P A Valid NPI

Organization · Geriatric Psychiatry Physician · Dallas, TX

NPI
1467890178
Type
Organization (Type 2)
Primary specialty
Geriatric Psychiatry Physician (Psychiatry & Neurology)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
2084P0805X
License number
K8897 (TX)
Enumerated
2013-06-05
Last updated
2025-05-29
Practice location
8240 Manderville Ln
Dallas, TX 75231-1104
(972) 769-8572

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