Most Relevant Information
Provider Data
| NPI Number: | 1003660309 |
| Provider Name: | XUEHUAN TAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 139596 |
Most Important Dates
| Enumeration Date: | 04/15/2024 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
5509 PLEASANT VALLEY DR STE 50
PLANO
TX
750235225
Practice Location Phone/Fax
| Phone: | 4699889039 |
| Fax: |
Provider Mailing Location
2937 SHADYWOOD LN
PLANO
TX
750233465
Provider Mailing Phone/Fax
| Phone: | 4699889039 |
| Fax: |