Individual
NGOC BAO PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6411 FANNIN STREET, HOUSTON, TX 77030
(346) 370-1526
Mailing address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(346) 370-1526
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
830835
TX
Other
Enumeration date
01/09/2025
Last updated
06/26/2026
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