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Individual
XUYEN DONG-THI PHAN
Active
Individual
XUYEN DONG-THI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S9587
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10064800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422193902
—
TX
05
—
422193904
—
TX
Enumeration date
05/01/2018
Last updated
10/28/2021
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