Individual
DR. VICTOR VAN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11920 ASTORIA BLVD, SUITE 390, HOUSTON, TX 77089-6134
(281) 922-1800
(281) 922-4050
Mailing address
11920 ASTORIA BLVD, SUITE 390, HOUSTON, TX 77089-6097
(281) 922-1800
(281) 922-4050
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L3782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F1153
MEDICARE GROUP PTAN
TX
Enumeration date
12/22/2005
Last updated
10/10/2023
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