Individual
DR. FANGNAN ELISHA NDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 FELIKS GWOZDZ PL, FORT WORTH, TX 76104-4919
(817) 920-5700
(817) 920-5713
Mailing address
200 FELIKS GWOZDZ PL, FORT WORTH, TX 76104-4919
(817) 920-5700
(817) 920-5713
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
85218-20
WI
Other
Enumeration date
03/27/2019
Last updated
06/04/2025
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