Individual
DR. JACQUELINE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
570 FM 156 S STE 100, HASLET, TX 76052-3625
(817) 663-1027
Mailing address
570 FM 156 S STE 100, HASLET, TX 76052-3625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39520
TX
Other
Enumeration date
06/22/2023
Last updated
12/07/2025
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