Individual
MR. BRYAN THANH PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6609 W SAM HOUSTON PKWY S STE 98B, HOUSTON, TX 77072-1641
(713) 995-8885
(713) 776-9990
Mailing address
6609 W SAM HOUSTON PKWY S STE 98B, HOUSTON, TX 77072-1641
(713) 995-8885
(713) 776-9990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51263
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH57094
CA
1835P1200X
Pharmacotherapy Pharmacist
RPH57094
CA
Other
Enumeration date
07/25/2006
Last updated
02/11/2020
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