Ellen Fan M D P A is a Psychiatry | Geriatric Clinic in Dallas, Texas. It is located at 8240 Manderville Ln, Dallas, TX and its contact number is 972-769-8572. The authorized person for Ellen Fan M D P A is Dr. Ellen Fan
who is Physician of the clinic and his/her contact number is 972-769-8572. The primary license number for Ellen Fan M D P A is K8897 (Geriatric Psychiatry) in Texas.
Ellen Fan M D P A Clinic has mental health professionals having 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.
Complete Clinic Profile:
Ellen Fan M D P A Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ellen Fan M D P A |
| Specialization: | Geriatric |
| Clinic Address: | 8240 Manderville Ln, Dallas,
Texas, 75231-1104 |
| Phone: | 972-769-8572 |
| Fax: | 972-769-8591 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Ellen Fan |
| Position: | Physician |
| Contact Number: | 972-769-8572 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ellen Fan M D P A clinic are as mentioned below.
| NPI Number: | 1467890178 |
| NPI Enumeration Date: | 05 Jun, 2013 |
| NPI Last Update On: | 29 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellen Fan M D P A are as mentioned below.
| Specialization | License Number | State | Status | |
| Geriatric Psychiatry | K8897 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 179654201 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ellen Fan M D P A
3308 Preston Rd, Suite 350 Box 242
Plano, Texas |
| Zip: | 75093-7453 |
| Phone Number: | 972-769-8572 |
| Fax Number: | 972-769-8591 |
Patients can reach Ellen Fan M D P A at
8240 Manderville Ln, Dallas, Texas or can
call to book an appointment on 972-769-8572.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.