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Organization

VICTOR VAN PHAN DO PA

Active
Other names
Premier Orthopaedics and Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTOR VAN PHAN D.O. (PRESIDENT)
(281) 922-1800
Entity
Organization

Contact information

Practice address
11920 ASTORIA BLVD, SUITE 390, HOUSTON, TX 77089-6097
(281) 922-1800
(832) 448-3716
Mailing address
11920 ASTORIA BLVD, SUITE 390, HOUSTON, TX 77089-6097
(281) 922-1800
(832) 448-3716

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L3782
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117031501
TX
Enumeration date
12/03/2007
Last updated
06/04/2025
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