# NORTH DALLAS DIGESTIVE DISEASE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144593294
- **Authorized official:** DR. XINQING FAN M.D. (PHYSICIAN)
- **Authorized official phone:** (214) 929-9290

## Contact information

- **Practice address:** 3509 SPECTRUM BLVD, RICHARDSON, TX 75082-9703
- **Practice address phone:** (972) 238-1858
- **Mailing address:** 5821 BRAEMAR DR, PLANO, TX 75093-4731
- **Mailing address phone:** (972) 781-9030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | M2319 | TX | Yes |

## Other

- **Enumeration date:** 02/21/2012
- **Last updated:** 03/21/2012