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Next Update: Saturday, April 20, 2024 12:00 PM CDT
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|
FAN, ELLEN |
| Practice Address: |
17194 PRESTON ROAD
SUITE 102 BOX 242
DALLAS TX 75248-1221
Address last updated on 10/19/2005 |
| Phone #: |
(972) 735-0183 |
| Fax #: |
(972) 735-0184 |
| County: |
NOT OKLAHOMA |
| License: |
24158 |
| Dated: |
10/8/2004 |
| Expires: |
10/1/2006 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry
Geriatric Psychiatry |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ of TX at San Antonio, UTSA Long School of Medicine |
| Graduated: |
5 /
1998 |
| CME Year: |
2007 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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