Tiny Phan

NPI #1104644467 in Amarillo, Texas

Provider Information

NPI Number: 1104644467
Entity Type: Individual
Name: Tiny Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 26, 2024
Last Updated: Jan 21, 2026

Practice Location

Address: 2021 EVERGREEN ST
City: Amarillo
State: Texas
ZIP Code: 79107-7551
Phone: (806) 236-2321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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