DR. Kelly Phuong Phan, O.D.

NPI #1760611248 in Pflugerville, Texas

Provider Information

NPI Number: 1760611248
Entity Type: Individual
Name: DR. Kelly Phuong Phan, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 6, 2009
Last Updated: Jul 6, 2009

Practice Location

Address: 18700 LIMESTONE COMMERCIAL DR
City: Pflugerville
State: Texas
ZIP Code: 78660-6544
Phone: (512) 990-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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