Individual
CHARLIE PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6431 FANNIN ST STE 5020, HOUSTON, TX 77030-1501
(713) 500-6200
(713) 500-0648
Mailing address
5214 CORNISH ST, HOUSTON, TX 77007-1910
(281) 415-8958
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
24570611
TX
Other
Enumeration date
01/30/2018
Last updated
07/21/2022
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