Xu, Guofan
Xu, Guofan is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Xu, Guofan can be contacted via phone (713) 792-6161.Contact Information
Primary practice address
1515 Holcombe Blvd
Houston TX 77030-4000
Phone: (713) 792-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | A130001 | California |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | R5339 | Texas |
Profile Details
| NPI number | 1962750497 |
|---|---|
| LBN Legal business name | Xu, Guofan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2012 |
| Last updated | Mar 5th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962750497 | NPPES |
| Texas | MEDICAID | 379460401 | |
| Texas | Other | 379460402 |
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