Provider Demographics
NPI:1831264613
Name:FANG S HORNG MD PC
Entity type:Organization
Organization Name:FANG S HORNG MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FANG
Authorized Official - Middle Name:SHUH
Authorized Official - Last Name:HORNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-743-6525
Mailing Address - Street 1:218 W PAGE STREET
Mailing Address - Street 2:
Mailing Address - City:LURAY
Mailing Address - State:VA
Mailing Address - Zip Code:22835
Mailing Address - Country:US
Mailing Address - Phone:540-743-6525
Mailing Address - Fax:540-743-1202
Practice Address - Street 1:218 W PAGE STREET
Practice Address - Street 2:
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835
Practice Address - Country:US
Practice Address - Phone:540-743-6525
Practice Address - Fax:540-743-1202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101023919208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B07257Medicare UPIN