Suat Cheng Go Fang in Lubbock - Preferred Provider Organization

Suat Cheng Go Fang - NPI 1124035324

Suat Cheng Go Fang is a Preferred Provider Organization in Lubbock, Texas. Suat Cheng Go Fang practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Suat Cheng Go Fang is 1124035324. The last update date is 2007-07-09.

Suat Cheng Go Fang's current location address is 3804 21st St Ste C, Lubbock, Texas. You can contact this provider via phone number 8067959326 and fax number 8067954835. The mailing address for Suat Cheng Go Fang is 3804 21st St Ste C, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Suat Cheng Go Fang
Address 3804 21st St Ste C, Lubbock, Texas
Phone Number 8067959326
Fax Number 8067954835
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1124035324
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3804 21st St Ste C
City Lubbock
State Texas (TX)
Post Code 794101012
Phone Number 8067959326
Fax Number 8067954835

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
Taxonomy 305R00000X
Definition:
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00BK52 TX BLUE CROSS BLUE SHIELD ID
2315562 TX BLUE CROSS/ BLUE SHIELD

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FAQs about Suat Cheng Go Fang

What is the unique identifier code issued to Suat Cheng Go Fang by the Centers for Medicare & Medicaid Services (CMS)?

The Suat Cheng Go Fang has been assigned the NPI (National Provider Identifier) 1124035324. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Suat Cheng Go Fang is located?

The Suat Cheng Go Fang is situated at the following address: 3804 21St St Ste C, Lubbock, TX, 794101012.

What is the Suat Cheng Go Fang's specialty and taxonomy code?

The Suat Cheng Go Fang's specialty is Preferred Provider Organization, and the corresponding taxonomy code is 305R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124035324 to Suat Cheng Go Fang?

The Centers for Medicare & Medicaid Services originally issued the 1124035324 to Suat Cheng Go Fang on 2006-08-01.

When was the Suat Cheng Go Fang's information last updated?

The Suat Cheng Go Fang's information was last updated on 2007-07-09.

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