Individual
JENNY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4849 GREENVILLE AVE STE 1118, DALLAS, TX 75206-4187
(214) 865-9778
Mailing address
4849 GREENVILLE AVE STE 1118, DALLAS, TX 75206-4187
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
T5469
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2018
Last updated
06/18/2022
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