Individual ProviderZhaoxiang FanAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address7703 Floyd Curl Dr, San Antonio, TX 78229-3901(210) 567-4500(936) 348-8519PECOS EnrollmentBased on the most recent information from CMS, provider Zhaoxiang Fan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1457858375Provider TypeIndividualFull NameFan, ZhaoxiangCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/8/2018Last Updated5/3/2022Contact InformationPractice LocationPractice Address7703 Floyd Curl Dr, San Antonio, TX 78229-3901Phone(210) 567-4500FaxUnlisted FaxMailing LocationMailing Address10843 Flying Fury Dr, San Antonio, TX 78254-6208Phone(936) 348-8519FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseT3768TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer