Individual
JOHN K FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
Q0435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338493503
—
TX
Enumeration date
10/08/2009
Last updated
07/08/2015
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