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

Dr. Jerry Fan, MD

Individual provider Cardiovascular Disease Physician · NPI 1619405784

Dr. Jerry Fan, MD is a Cardiovascular Disease (Cardiology) in Temple, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2017, 9 years ago. Practices with Scott and White Clinic, a 2,429-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2401 S 31st St
Temple, TX 76508-0001
Phone: (254) 724-2111
Fax: (254) 724-7603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence S4629 (TX)

Record details

NPI number1619405784
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2017
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations26 on file with Medicare

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