Tan, Frederick S

Tan, Frederick S is an sole proprietor health care provider with primary practice located at 2801 E 29Th St Ste 117, Bryan TX 77802-2618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Tan, Frederick S can be contacted via phone (979) 774-3960.

Contact Information

Primary practice address
2801 E 29Th St Ste 117 Bryan TX 77802-2618
Phone: (979) 774-3960
Fax: (979) 774-4506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X K8511 Texas

Profile Details

NPI number 1689698615
LBN Legal business name Tan, Frederick S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Feb 2nd, 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 1689698615 NPPES
Other 0017GC BLUE CROSS BLUE SHILED
Other 390007453 BLUE CROSS BLUE SHILED

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