Khuong Phan, D.o., P.a.

NPI #1710006556 in Mansfield, Texas

Provider Information

NPI Number: 1710006556
Entity Type: Organization
Organization Name: Khuong Phan, D.o., P.a.
Primary Specialty: Internal Medicine
Enumeration Date: Mar 29, 2007
Last Updated: Apr 1, 2008

Practice Location

Address: 920 HIGHWAY 287 N
Address 2: SUITE 308
City: Mansfield
State: Texas
ZIP Code: 76063-2627
Phone: (817) 473-7197

Authorized Official

Name: KHUONG PHAN, D.O.
Title: OWNER
Phone: (817) 473-7197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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