Individual
HONG B PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
(713) 798-4693
Mailing address
6720 BERTNER AVE STE O-520, HOUSTON, TX 77030-2604
(832) 355-2666
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1997
TX
367H00000X
Anesthesiologist Assistant
1997
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349553301
—
TX
01
—
8006UL
BCBS
TX
01
—
P01570871
RR MEDICARE
TX
Enumeration date
05/18/2015
Last updated
07/18/2025
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