Individual
ROGER RUOJIE FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
S5611
TX
207RP1001X
Pulmonary Disease Physician
Primary
S5611
TX
208M00000X
Hospitalist Physician
S5611
TX
Other
Enumeration date
03/30/2017
Last updated
07/02/2025
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