Dr. Ly Phan & Associates, P.c.

NPI #1295969426 in Desoto, Texas

Provider Information

NPI Number: 1295969426
Entity Type: Organization
Organization Name: Dr. Ly Phan & Associates, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DR. LY PHAN & ASSOCIATES, P.C.
Primary Specialty: Optometrist
Enumeration Date: May 1, 2009
Last Updated: Jul 2, 2012

Practice Location

Address: 951 W BELT LINE RD
Address 2: SUITE A
City: Desoto
State: Texas
ZIP Code: 75115-3741
Phone: (972) 274-6600

Authorized Official

Name: LY KHAC PHAN, O.D.
Title: OWNER
Phone: (972) 274-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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