Individual
ANSON TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-2892
Mailing address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P3590
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
P3590
TX
Other
Enumeration date
03/29/2009
Last updated
07/02/2015
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