Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Fan M D P A

Organization Geriatric Psychiatry Physician · NPI 1467890178

Ellen Fan M D P A is a Geriatric Psychiatry Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013

Practice location Address checks out

8240 Manderville Ln
Dallas, TX 75231-1104
Phone: (972) 769-8572
Fax: (972) 769-8591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X · Licence K8897 (TX)

Record details

NPI number1467890178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Fan — Physician · (972) 769-8572
NPI enumeratedJune 5, 2013
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address3308 Preston Rd, Suite 350 Box 242, Plano, TX 75093-7453

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