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General NPI Number Information
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NPI Number | 1962408989
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Entity Type | Individual
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Provider Name | KARL TAUNG-KEA FAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1812 S ALAMEDA ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-2933
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Country | US
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Telephone | 361-887-7000
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Fax | 361-561-3185
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Provider Business Mailing Address
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Address Line | 816 W CANNON ST
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City | FORT WORTH
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State | TX
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Zip | 76104-3194
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Country | US
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Telephone | 817-321-0404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | K8142
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License Number State | TX
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