Frederick S Tan Md is a Nephrology in Bryan, Texas. Frederick S Tan Md practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Frederick S Tan Md is 1700918224. The last update date is 2020-08-22.
Frederick S Tan Md's current location address is 1705 E 29th St, Bryan, Texas. You can contact this provider via phone number 9797759483 and fax number 9797759557. The mailing address for Frederick S Tan Md is 1705 E 29th St, Bryan, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Frederick S Tan Md |
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Address | 1705 E 29th St, Bryan, Texas |
Phone Number | 9797759483 |
Fax Number | 9797759557 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MD |
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Authorized Official Name | Tan Frederick |
Telephone Number | 9797759483 |
NPI Number Detail
NPI Number | 1700918224 |
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Provider Enumeration Date | 2007-03-10 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1705 E 29th St |
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City | Bryan |
State | Texas (TX) |
Post Code | 778021406 |
Phone Number | 9797759483 |
Fax Number | 9797759557 |
Provider's Primary Taxonomy Detail
Speciality | Nephrology |
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Taxonomy | 207Rn0300X |
Licence No | K8511 |
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
0017GC | TX | BLUE CROSS |
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What is the unique identifier code issued to Frederick S Tan Md by the Centers for Medicare & Medicaid Services (CMS)?
The Frederick S Tan Md has been assigned the NPI (National Provider Identifier) 1700918224. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Frederick S Tan Md located?
The Frederick S Tan Md is located at 1705 E 29Th St, Bryan, TX 778021406.
What is Frederick S Tan Md's specialized field of practice, and what is the corresponding taxonomy classification code?
The Frederick S Tan Md's area of specialization is Nephrology, and the corresponding taxonomy code that categorizes this field of practice is 207Rn0300X.
On what date did the Frederick S Tan Md receive its 1700918224 assignment from the Centers for Medicare & Medicaid Services?
The Frederick S Tan Md was assigned its 1700918224 by the Centers for Medicare & Medicaid Services on 2007-03-10.
As of what date were the Frederick S Tan Md's details last updated?
The information pertaining to the Frederick S Tan Md, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY