Individual
DR. GUOFAN XU
Active
Individual
DR. GUOFAN XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
R5339
TX
207UN0902X
Nuclear Imaging & Therapy Physician
A130001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379460401
—
TX
01
—
379460402
MEDICAID CSHCN
TX
Enumeration date
08/15/2012
Last updated
03/05/2018
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