Individual
JEANETTE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7806 GATEWAY BLVD E, SUITE 100, EL PASO, TX 79915-1806
(915) 592-6868
(915) 592-6889
Mailing address
7806 GATEWAY BLVD E, SUITE 100, EL PASO, TX 79915-1806
(915) 592-6868
(915) 592-6889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J9375
TX
Other
Enumeration date
01/27/2006
Last updated
02/05/2008
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