Individual
CUONG Q PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25511 BUDDE RD STE 1201, BELLE BUILDING, SPRING, TX 77380-2091
(281) 364-1707
(281) 364-0028
Mailing address
25511 BUDDE RD STE 1201, BELLE BUILDING, SPRING, TX 77380-2091
(281) 364-1707
(281) 364-0028
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39212
KY
174400000X
Specialist
—
—
2085R0001X
Radiation Oncology Physician
Primary
M3691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00250T
GROUP MEDICARE PIN
TX
01
—
00251T
GROUP MEDICARE PIN
TX
01
—
1590473-01
GROUP MEDICAID
TX
01
—
1590648-01
GROUP MEDICAID
TX
Enumeration date
08/03/2005
Last updated
09/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us