DR. Bao Long Phan, M.D.

NPI #1083787048 in Richardson, Texas

Provider Information

NPI Number: 1083787048
Entity Type: Individual
Name: DR. Bao Long Phan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Plastic Surgery
Credential: M.D.
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 330 MUNICIPAL DR
Address 2: SUITE 104
City: Richardson
State: Texas
ZIP Code: 75080-3651
Phone: (972) 671-6398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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