Individual
AN THIEN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 CLEBURNE ST, HOUSTON, TX 77004-4501
(832) 212-0165
Mailing address
12219 WINTHORNE LN, HOUSTON, TX 77066-3225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39939
TX
Other
Enumeration date
07/27/2022
Last updated
09/08/2023
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