Individual
LOAN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14344 MEMORIAL DR, HOUSTON, TX 77079-6700
(281) 497-3565
(281) 497-3281
Mailing address
14344 MEMORIAL DR, HOUSTON, TX 77079-6700
(281) 497-3565
(281) 497-3281
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
51592
TX
Other
Enumeration date
02/16/2020
Last updated
02/16/2020
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