P Praxis·MD
● Active Type 2 · Organization

Ellen Fan M D P A

Psychiatry & Neurology·Dallas, TX· NPI 1467890178 · Enumerated 2013 · 12 years on NPI
Ellen Fan M D P A is 1 of 64 psychiatry & neurology organizations in Texas.
NPI age
12 years
Enumerated 2013-06-05
Primary specialty
Psychiatry & Neurology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fan
Physician
Last NPPES update
2025-05-29
Source: monthly bulk 2026-05

How this organization compares

Across 64 active psychiatry & neurology providers in Texas.

NPI age
12 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
8240 Manderville Ln
Dallas, TX 752311104
📞 9727698572fax 9727698591
Mailing address
3308 Preston Rd, Suite 350 Box 242
Plano, TX 750937453
📞 9727698572fax 9727698591

Authorized official

Ellen Fan, M.D.
Physician
📞 9727698572

Specialties

  • Psychiatry & Neurology Primary
    Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
    TX license #K8897 taxonomy 2084P0805X

Identifiers

TypeValueNotes
05 (TX) 179654201

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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