Provider Demographics
NPI:1083647986
Name:N CALVIN HAN PLLC
Entity Type:Organization
Organization Name:N CALVIN HAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NYUN
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-487-6733
Mailing Address - Street 1:10460 VISTA DEL SOL DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7947
Mailing Address - Country:US
Mailing Address - Phone:915-629-3440
Mailing Address - Fax:915-598-9028
Practice Address - Street 1:10460 VISTA DEL SOL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7947
Practice Address - Country:US
Practice Address - Phone:915-629-3440
Practice Address - Fax:915-598-9028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM01042085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G68948Medicare UPIN
TX8F0773Medicare ID - Type Unspecified