Individual provider · Type 1 NPI

Ethan Matthew Fan

Internal Medicine Physician · Dallas, TX

NPI number 1649913138 Active

Practice location

8200 Walnut Hill Ln
Dallas, TX 75231-4402

Call (214) 345-6176 Map

Fax (214) 345-5167

Mailing address

1140 Peacock Blvd
Carrollton, TX 75007-2943

Other practice locations

  • 1140 Peacock Blvd, Carrollton, TX 75007-2943 · (469) 471-4848

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XW0570 (TX)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1649913138

Ethan Matthew Fan's National Provider Identifier is 1649913138, issued on Apr 14, 2022. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Dallas, TX. The record was last updated on Dec 9, 2025.