P Praxis·MD
● Active Type 1 · Individual

Chun Wang Y Tan, MD

Internal Medicine·Jourdanton, TX· NPI 1104825785 · Enumerated 2005 · 20 years on NPI
Tan is 1 of 2 internal medicine providers in Jourdanton and 1 of 2301 in Texas.
NPI age
20 years
Enumerated 2005-07-18
Primary specialty
Internal Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-10-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2301 active internal medicine providers in Texas.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
1808 Highway 97 E
Jourdanton, TX 780261535
📞 8305694003fax 8305694001
Mailing address
1808 Highway 97 E
Jourdanton, TX 780261535
📞 8305694003fax 8305694001

Specialties

  • Internal Medicine Primary
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    TX license #K3862 taxonomy 207RC0000X

Identifiers

TypeValueNotes
05 (TX) 037007401
01 (TX) 8028M0 BCBS
01 (TX) 8G9388 BCBS
05 (TX) 037007403

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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