Individual
DR. JANE FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A77614
CA
208000000X
Pediatrics Physician
Primary
S7645
TX
2080P0206X
Pediatric Gastroenterology Physician
S7645
TX
Other
Enumeration date
07/21/2015
Last updated
10/26/2023
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