DR. Truong Thanh Phan, O.D.

NPI #1316250673 in Garland, Texas

Provider Information

NPI Number: 1316250673
Entity Type: Individual
Name: DR. Truong Thanh Phan, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 15, 2010
Last Updated: Jul 15, 2010

Practice Location

Address: 110 CEDAR SAGE DR # C15
City: Garland
State: Texas
ZIP Code: 75040-2943
Phone: (972) 530-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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