Organization
NORTH DALLAS DIGESTIVE DISEASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XINQING FAN M.D. (PHYSICIAN)
(214) 929-9290
Entity
Organization
Contact information
Practice address
3509 SPECTRUM BLVD, RICHARDSON, TX 75082-9703
(972) 238-1858
Mailing address
5821 BRAEMAR DR, PLANO, TX 75093-4731
(972) 781-9030
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
M2319
TX
Other
Enumeration date
02/21/2012
Last updated
03/21/2012
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