Ricardo B Tan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E7515 Issued in TX

Practice address

5152 Rufe Snow Dr
Suite 314
North Richland Hills, TX 76180-6658

Phone

(817) 427-2151

Fax

(817) 427-2167

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154479491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 RUFE SNOW DR",
            "address_2": "SUITE 314",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806658",
            "telephone_number": "817-427-2151",
            "fax_number": "817-427-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 RUFE SNOW DR",
            "address_2": "SUITE 314",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806658",
            "telephone_number": "817-427-2151",
            "fax_number": "817-427-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "RICARDO",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E7515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.