# PING N. TAN, MD, PA, INC

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

## Provider details

- **NPI number:** 1992074272
- **Authorized official:** DR. PING TAN (PRESIDENT)
- **Authorized official phone:** (254) 386-8136

## Contact information

- **Practice address:** 302 N BROWN ST, HAMILTON, TX 76531-1516
- **Practice address phone:** (254) 386-8136
- **Practice address fax:** (254) 386-3988
- **Mailing address:** 302 N BROWN ST, HAMILTON, TX 76531-1516
- **Mailing address phone:** (254) 386-8136
- **Mailing address fax:** (254) 386-3988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | F2476 | TX | Yes |

## Other

- **Enumeration date:** 12/15/2011
- **Last updated:** 05/22/2012