Organization
CHARLES G. PHAN, M.D. GASTROINTESTINAL & LIVER DISEASE CONSULTANTS,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRINH NGOCMY NGUYEN (OFFICE MANAGER)
(281) 277-2213
Entity
Organization
Contact information
Practice address
16659 SOUTHWEST FREEWAY, SUITE #175, SUGAR LAND, TX 77479-2351
(281) 277-2213
(281) 277-0192
Mailing address
16659 SOUTHWEST FREEWAY, SUITE #175, SUGAR LAND, TX 77479-2351
(281) 277-2213
(281) 277-0192
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L6141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080JV
BLUE CROSS BLUESHIELD
TX
05
—
159789001
—
TX
Enumeration date
12/03/2007
Last updated
08/10/2015
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