Individual
ANJANETTE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6844 HARRIS PKWY STE 300, FORT WORTH, TX 76132
(817) 263-0007
Mailing address
6844 HARRIS PKWY STE 300, FORT WORTH, TX 76132-4301
(817) 263-0007
(817) 263-1118
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
N4779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209176101
—
TX
Enumeration date
06/20/2005
Last updated
11/09/2023
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