Active NPI
Suat Cheng Go Fang, M.D.
- Point of Service
- Lubbock, TX
National Provider Identifier
1124035324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Practice address
- 3804 21St St Ste C
Lubbock, TX 79410-1012 - Phone
- (806) 795-9326
- Fax
- (806) 795-4835
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | TX | ||
| Health Maintenance Organization | 302R00000X | TX | ||
| Preferred Provider Organization | 305R00000X | TX | ||
| Point of Service | 305S00000X | TX | Primary |
Addresses
Primary practice location
3804 21St St Ste C
Lubbock, TX 79410-1012
Mailing address
3804 21St St Ste C
Lubbock, TX 79410-1012
Phone (806) 795-9326
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00BK52 | Other | TX | BLUE CROSS BLUE SHIELD ID |
| 2315562 | Other | TX | BLUE CROSS/ BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 751968945 | TX | MD | Preferred Provider Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124035324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 21ST ST STE C",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101012",
"telephone_number": "806-795-9326",
"fax_number": "806-795-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 21ST ST STE C",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101012",
"telephone_number": "806-795-9326",
"fax_number": "806-795-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "SUAT CHENG",
"middle_name": "GO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "00BK52",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "2315562",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Family First Healthcare of Lubbock, LLC
- Family Foot and Ankle Care PLLC
- Family Hospice LTD
- Family Service Assn of Lubbock, Texas, Inc.
- Family, Sports & Golf Chiropractic
- Faniks Healthcare Professionals, LLC
- Andrew G. Faniku, MD
- Josephine Faniku, FNP-C, PMHNP
- Oluwatobi Ayodele Faniyi, MD
- Fannin County Hospital Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.