Matthew N. Fan, MD
Psychiatry · Fort Worth, TX
UnclaimedMDNPI 1063777860
- Primary taxonomy
- 2084P0800X
- Enumerated
- 2012-07-08
- Practice location
- Fort Worth, TX
- Last NPPES update
- 2015-03-02
State licenses
- TX · Physician · Faculty Temporary LicenseInactivethrough 2015
- TX · Physician · Faculty Temporary LicenseInactivethrough 2016
- VA · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.