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Individual

HUYEN T PHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
6560 FANNIN ST STE 1404, HOUSTON, TX 77030-2706
(713) 566-5000
Mailing address
3322 BLUEBERRY TURN TRL, RICHMOND, TX 77406-2280
(832) 868-2986

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1054694
TX
363LA2100X
Acute Care Nurse Practitioner
1054694
TX

Other

Enumeration date
09/19/2021
Last updated
12/21/2021
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