Individual
DR. JENNY FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
708 E 15TH ST, SUITE A, PLANO, TX 75074-5712
(972) 509-8555
(972) 509-8556
Mailing address
708 E 15TH ST, SUITE A, PLANO, TX 75074-5712
(972) 509-8555
(972) 509-8556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5903TG
TX
152WC0802X
Corneal and Contact Management Optometrist
5903TG
TX
Other
Enumeration date
09/08/2005
Last updated
05/17/2024
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