Johnny Phan, O.D.

NPI #1700268448 in Mansfield, Texas

Provider Information

NPI Number
1700268448
Entity Type
Individual
Name
Johnny Phan, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jun 18, 2015
Last Updated
Jun 18, 2015

Practice Location

Address
990 U.S. 287 FRONTAGE RD
Address 2
#109
State
Texas
ZIP Code
76063
Phone
(817) 453-4682

Specialties & Taxonomy Codes

Specialty
Optometrist

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