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Individual

DR. HOANG M PHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20110 STONEVIEW DR, RICHMOND, TX 77407-4166
(832) 798-7326
Mailing address
20110 STONEVIEW DR, RICHMOND, TX 77407-4166
(832) 798-7326

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M6827
TX
208M00000X
Hospitalist Physician
M6827
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073717476
TRICARE
TX
05
189146701
TX
01
8X6783
BCBSTX
TX
Enumeration date
06/12/2007
Last updated
02/27/2014
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