NPI 1699201509 · live from the CMS NPI Registry
Serena Jen, MD
Radiology, Diagnostic Radiology in Fort Worth, TX. National Provider Identifier 1699201509, active.
NPI record
| NPI | 1699201509 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 816 W Cannon St, Fort Worth, TX 76104 |
| Practice phone | 817-321-0404 |
| Enumerated | May 11, 2017 |
| Last updated | December 14, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | MD210001924 (DC) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — (TN) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | R9783 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.