Individual
DEREK YANG HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 SUMMIT AVE, FORT WORTH, TX 76102-4413
(817) 332-2020
(817) 332-4797
Mailing address
1201 SUMMIT AVE, FORT WORTH, TX 76102-4413
(817) 332-2020
(817) 332-4797
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R4975
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
10/05/2018
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