Ly K Phan, O.D.

NPI #1154504371 in Arlington, Texas

Provider Information

NPI Number: 1154504371
Entity Type: Individual
Name: Ly K Phan, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 11, 2007
Last Updated: Apr 11, 2014

Practice Location

Address: 3751 MATLOCK RD STE 115
City: Arlington
State: Texas
ZIP Code: 76015-4342
Phone: (817) 375-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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