Individual
JENNIFER HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-4007
(682) 885-1712
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
01087792A
IN
2080P0207X
Pediatric Hematology & Oncology Physician
A154941
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
V1121
TX
Other
Enumeration date
03/31/2015
Last updated
09/10/2024
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