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Individual
MR. THANH PHAN
Active
Individual
MR. THANH PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1057298
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1057298
TX
Other
Enumeration date
10/20/2021
Last updated
10/02/2023
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