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Individual
DR. PHONG PHAT TANG
Active
Individual
DR. PHONG PHAT TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N3339
TX
208M00000X
Hospitalist Physician
N3339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8CT108
BLUE CROSS BLUE SHIELD OF TX
TX
Enumeration date
06/14/2007
Last updated
02/09/2016
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