Organization
PHOENIX PHYSICIANS IPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAN NHU BICH PHAN (ADMINISTRATOR)
(818) 399-8996
Entity
Organization
Contact information
Practice address
6030 S RICE AVE STE C, HOUSTON, TX 77081-2944
(818) 399-8996
Mailing address
6 VERANDA, NEWPORT COAST, CA 92657-1632
(818) 399-8996
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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