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Organization

NGHI B PHAN MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NGHI BAO PHAN MD (PHYSICAN)
(972) 668-6868
Entity
Organization

Contact information

Practice address
4040 MCDERMOTT RD STE 100, PLANO, TX 75024-7735
(972) 668-6868
(972) 668-1618
Mailing address
4040 MCDERMOTT RD STE 100, PLANO, TX 75024-7735
(972) 668-6868
(972) 668-1618

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N2730
TX
208000000X
Pediatrics Physician
N2730
TX
208D00000X
General Practice Physician
N2730
TX
208M00000X
Hospitalist Physician
Primary
N2730
TX

Other

Enumeration date
10/19/2010
Last updated
01/16/2012
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