Tan, Cornelia W.

Tan, Cornelia W. is an individual health care provider with primary practice located at 303 E Overton Rd , Dallas TX 75216-5946. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tan, Cornelia W. can be contacted via phone (214) 266-4200.

Contact Information

Primary practice address
303 E Overton Rd Dallas TX 75216-5946
Phone: (214) 266-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J2363 Texas

Profile Details

NPI number 1316948391
LBN Legal business name Tan, Cornelia W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Dec 4th, 2012 - about 14 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 1316948391 NPPES
Texas MEDICAID 139120306
Texas MEDICAID 139120312
Texas MEDICAID 139120313
Texas MEDICAID 139120308
Texas MEDICAID 139120302
Texas MEDICAID 139120303
Texas MEDICAID 139120314
Texas MEDICAID 139120304
Texas MEDICAID 139120305
Texas MEDICAID 139120309
Texas MEDICAID 139120307
Texas MEDICAID 139120310

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