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

Individual provider Diagnostic Radiology Physician · NPI 1366948721

Ethan Tang, MD is a Diagnostic Radiology in Fort Worth, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2018, 8 years ago. Practices with North Star Npt LP, a 40-clinician group and works from 5 locations. Licensed in Arizona and Texas.

Years since qualifying
8
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
AZ, TX
In the registry since
2018
Specialties on file
2
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

815 Pennsylvania Ave
Fort Worth, TX 76104-2294
Phone: (817) 321-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 7330 N 99th Ave Ste 200, Glendale, AZ 85307-3018 — (602) 406-0033
  • 17040 N 51st Ave Ste 100, Glendale, AZ 85308-1496 — (602) 406-1164
  • 4975 N Dysart Rd Unit 100, Litchfield Park, AZ 85340-3082 — (602) 406-8852
  • 350 W Thomas Rd, Phoenix, AZ 85013-4409 — (602) 406-3430

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence V7079 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 58735 (AZ)

Record details

NPI number1366948721
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address1320 S University Dr Ste 500, Fort Worth, TX 76107-5732

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice North Star Npt Lp — 40 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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