Dr. Evelyn Tiffany Pan, MD
Obstetrics & Gynecology in Dallas, TX. Individual provider (NPI-1).
NPI number1083176549
StatusActive
Last updated in NPPESOct 4, 2025
Details
- NPI
- 1083176549
- Entity type
- Individual (NPI-1)
- Name
- Dr. Evelyn Tiffany Pan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2019
- Certification date
- Oct 4, 2025
- Last updated
- Oct 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | U1104 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5323 Harry Hines BlvdDallas, TX 75390-9032
Phone 214-648-4866
Mailing address
5323 Harry Hines BlvdDallas, TX 75390-7201
Phone 972-804-6061
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