Individual
DR. JEREMY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16535 SOUTHWEST FWY STE 230, SUGAR LAND, TX 77479-2323
(832) 202-5641
Mailing address
5714 SANTA FE SPRINGS DR, HOUSTON, TX 77041-5755
(832) 202-5641
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10019T
TX
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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