Provider Demographics
NPI:1134301351
Name:DFW ARTHRITIS ASSOCIATES, PA
Entity Type:Organization
Organization Name:DFW ARTHRITIS ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FANG
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-663-4029
Mailing Address - Street 1:1120 W CAMPBELL RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2976
Mailing Address - Country:US
Mailing Address - Phone:972-669-0912
Mailing Address - Fax:972-669-1313
Practice Address - Street 1:1120 W CAMPBELL RD
Practice Address - Street 2:SUITE 111
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2976
Practice Address - Country:US
Practice Address - Phone:972-669-0912
Practice Address - Fax:972-669-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9540207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty