Individual
THINH PHU PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY STE 100, MIDLAND, TX 79701-5849
(432) 687-1949
(432) 687-4251
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
A80413
CA
2085R0001X
Radiation Oncology Physician
Primary
M4444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00250T
GROUP MEDICARE PTAN
TX
01
—
00251T
GROUP MEDICARE PTAN
TX
01
—
1477553477
GROUP NPI
—
01
—
1487887667
GROUP NPI
—
01
—
1590473-01
GROUP MEDICAID
TX
01
—
1590648-01
GROUP MEDICAID
TX
01
—
1700017449
GROUP NPI
—
01
—
1871594424
GROUP NPI
TX
Enumeration date
07/07/2006
Last updated
09/25/2025
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