Individual
DR. ANDREW PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8210 WALNUT HILL LN., STE. 230, DALLAS, TX 75231
(972) 284-7000
(972) 284-7001
Mailing address
PO BOX 678513, DALLAS, TX 75267-8513
(972) 792-5700
(972) 788-4707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K0360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116458404
—
TX
01
—
8AG052
BCBS
TX
Enumeration date
12/08/2005
Last updated
01/04/2011
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