Individual
FENGYAN DENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP118914
TX
367500000X
Certified Registered Nurse Anesthetist
RN583647
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212670801
—
TX
01
—
8236UA
BLUE CROSS BLUE SHIELD
TX
01
—
P00911623
RAILROAD MEDICARE
TX
Enumeration date
11/24/2009
Last updated
05/03/2022
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