MEDICARE: KATHY PAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835X0200X	Oncology Pharmacist	50678	TX

General Provider Information

NPI Number	:	1780518845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY PAN

Provider Business Mailing Address
First Line	:	7118 WOODSPRINGS DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2838
Country	:	US
Telephone Number	:	972-679-0693
Fax Number	:

Provider Business Practice Location Address
First Line	:	7118 WOODSPRINGS DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2838
Country	:	US
Telephone Number	:	972-679-0693
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ KATHY PAN ” Practice Location

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