Domingo K Tan is a Surgery in Fort Worth, Texas. Domingo K Tan practices all healthcare services and medical treatments related to Surgery. The NPI Number for Domingo K Tan is 1982621595. The last update date is 2015-12-31.
Domingo K Tan's current location address is Po Box 961205, Fort Worth, Texas. You can contact this provider via phone number 8177408400 and fax number 8175700173. The mailing address for Domingo K Tan is Po Box 961205, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Domingo K Tan |
|---|---|
| Address | Po Box 961205, Fort Worth, Texas |
| Phone Number | 8177408400 |
| Fax Number | 8175700173 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1982621595 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2015-12-31 |
Provider Mailing Address Detail
| Address | Po Box 961205 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761611205 |
| Phone Number | 8177408400 |
| Fax Number | 8175700173 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | H0872 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20054588 | RAILROAD MEDICARE | ||
| 113676406 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Domingo K Tan?
The Domingo K Tan has been issued the NPI (National Provider Identifier) 1982621595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Domingo K Tan?
The Domingo K Tan is physically situated at Po Box 961205, in the city of Fort Worth, state of TX, with the postal code 761611205.
What is Domingo K Tan's area of expertise and its corresponding taxonomy classification?
The Domingo K Tan's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did Domingo K Tan receive its 1982621595 assignment from the Centers for Medicare & Medicaid Services?
The Domingo K Tan was assigned its 1982621595 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Domingo K Tan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Domingo K Tan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-12-31.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX