Individual
JENNIFER FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 633-5555
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
S1805
TX
Other
Enumeration date
03/23/2016
Last updated
11/07/2025
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