P Praxis·MD
● Active Type 1 · Individual

Domingo K Tan, MD

Surgery·Fort Worth, TX· NPI 1982621595 · Enumerated 2006 · 19 years on NPI
Tan is 1 of 112 surgery providers in Fort Worth and 1 of 3028 in Texas.
NPI age
19 years
Enumerated 2006-07-17
Primary specialty
Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-12-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3028 active surgery providers in Texas.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
6100 Harris Parkway, Suite 270
Fort Worth, TX 761324132
📞 8174335658fax 8175700173
Mailing address
Po Box 961205
Fort Worth, TX 761611205
📞 8177408400fax 8175700173

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    TX license #H0872 taxonomy 208600000X

Identifiers

TypeValueNotes
01 020054588 RAILROAD MEDICARE
05 (TX) 113676406

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new surgery provider has been added in Fort Worth in the last 180 days. See all →
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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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