Individual
DR. EDWARD PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
5323 HARRY HINES BLVD., ND3.300A, DALLAS, TX 75390-9186
(214) 645-8186
(214) 645-5999
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME89340
FL
2084N0400X
Neurology Physician
Primary
P5219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268790900
—
FL
01
—
37726
BCBS
FL
Enumeration date
05/17/2006
Last updated
07/11/2017
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