Individual
HUY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1303 W DUVAL ST, TROUP, TX 75789-1509
(903) 842-4600
Mailing address
1303 W DUVAL ST, TROUP, TX 75789-1509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41543
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2023
Last updated
07/01/2025
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