Individual provider · Type 1 NPI

Jerry Fan, MD

Cardiovascular Disease Physician · Temple, TX

NPI number 1619405784 Active

Practice location

2401 S 31st St
Temple, TX 76508-0001

Call (254) 724-2111 Map

Fax (254) 724-7603

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XS4629 (TX)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1619405784

Jerry Fan, MD's National Provider Identifier is 1619405784, issued on Jun 1, 2017. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Temple, TX. The record was last updated on Jul 25, 2024.