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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN MATTHEW FAN

Active

ETHAN MATTHEW FAN is a Internal Medicine healthcare provider located in DALLAS, Texas. NPI 1649913138 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · DALLAS, TX

Registration Details

NPI Number
1649913138
Provider Type
Individual
Gender
Male
NPI Issued
Apr 14, 2022 (4.3449461162054 yrs)
Last Updated
Dec 9, 2025
License
W0570 (TX)

Practice Information

Address
8200 WALNUT HILL LN
DALLAS, TX, 752314402
Browse TX providers · Browse ZIP 75231
Phone
2143456176
Fax
2143455167
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in DALLAS, TX

Name Credential NPI
NEAL LAWRENCE SKLAVER MD 1073516761
ERIKA F TRAPP MD 1689679821
DR. SAMUEL JEROME LISTI MD 1225033244
DR. SHAKIL AHMED M.D 1821094616
DR. JEAN A AKPAN M.D. 1750389599
DR. GEORGE JOHN MD 1124027958
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.