Individual
BENJAMIN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 BEECHNUT ST FL 8, HOUSTON, TX 77074-4302
(713) 456-5686
Mailing address
7600 BEECHNUT ST FL 8, HOUSTON, TX 77074-4302
(904) 639-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
V3677
TX
208M00000X
Hospitalist Physician
Primary
V3677
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
12/18/2024
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