Hong Hanh Tanis Phan

NPI #1124864376 in Trophy Club, Texas

Provider Information

NPI Number
1124864376
Entity Type
Individual
Name
Hong Hanh Tanis Phan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jul 8, 2024
Last Updated
Jul 8, 2024

Practice Location

Address
402 HOGANS DR
State
Texas
ZIP Code
76262-5575
Phone
(817) 919-2459

Specialties & Taxonomy Codes

Specialty
Pharmacist

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