Individual
TIN TRUNG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 SPRING HILL DR STE 420, SPRING, TX 77386-6029
(713) 385-6974
Mailing address
504 SPRING HILL DR STE 420, SPRING, TX 77386-6029
(183) 229-3795
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT026763
TX
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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