Peng, Fangyu

Peng, Fangyu is an individual health care provider with primary practice located at 5323 Harry Hines Blvd Ne3.240, Dallas TX 75390-8542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Peng, Fangyu can be contacted via phone (214) 645-2625.

Contact Information

Primary practice address
5323 Harry Hines Blvd Ne3.240 Dallas TX 75390-8542
Phone: (214) 645-2625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X N1833 Texas

Profile Details

NPI number 1962449561
LBN Legal business name Peng, Fangyu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962449561 NPPES
Texas Other M76490221 MIDICARE PROVIDER NUMBER

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