DR. MIMI PHAN (NPI# 1093035610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093035610 |
| Entity Type | Individual |
| Full Name | DR. MIMI PHAN |
| Credential | M.D. |
| Practice Address |
3601 N Macgregor Way Quentin Mease Houston TX 77004-8004 |
| Mailing Address |
11307 Fm 1960 Rd W Ste 100 Houston TX 77065-3687 |
| Practice Telephone | 7138734667 |
| Mailing Telephone | 7137985588 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2016-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | BP10038072 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557388 | Mimi Thanh-uyen Phan | Pharmacist | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2020-01-14 |
| 1083178099 | Mimi Hoang Phan | Nurse Practitioner | 6355 Walker Lane, 505, Alexandria, VA 22310-3251 | 2019-01-23 |
| 1598187924 | Mimi Anhtu Phan | Optometrist | 8404 Beverly Blvd, Los Angeles, CA 90048 | 2014-01-21 |
| Street Address |
3601 N MACGREGOR WAY QUENTIN MEASE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535510 | Sunny Ogbonnaya | Pharmacist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2005-06-01 |
| 1508465063 | Zachary Markus Beauchamp | Physical Therapist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2020-10-25 |
| 1245838408 | Mayowa Victor Oyelami | Physical Therapist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2020-10-10 |
| 1275150831 | Cory Paul Perrin | Physical Therapist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2020-06-30 |
| 1346865912 | Allison Smith | Physical Therapist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2020-06-10 |
| 1285259747 | Eric Reyes | Physical Therapist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2020-06-10 |
| 1982226197 | Lauren Geiger | Physical Therapist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2020-05-11 |
| 1720590839 | Jamie Nicole Elizabeth Dolley | Physical Therapist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2017-10-30 |
| 1366954752 | Martin Castaneda Solorzano | Physical Therapist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2017-10-25 |
| 1760928436 | Meera Dhingra Dawson | Speech-Language Pathologist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2017-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1588261002 | Cardiac Rhythm Center Pllc | Internal Medicine | 2527 Gramercy St, Houston, TX 77030-3107 | 2020-10-07 |
| 1891301438 | Primary Care of Houston Pllc | Internal Medicine | 19255 Park Row Ste 204b, Houston, TX 77084-7310 | 2020-09-18 |
| 1548876576 | Needmd Pllc | Internal Medicine | 1906 Mystic Arbor Ln, Houston, TX 77077-3546 | 2020-09-15 |
| 1417562919 | Privia Medical Group Gulf Coast, Pllc | Internal Medicine | 1140 Business Center Dr Ste 110, Houston, TX 77043-2749 | 2020-09-11 |
| 1174133870 | Houston Family Medicine & Pediatrics Pllc | Internal Medicine | 10101 Bissonnet St Ste 105a, Houston, TX 77036-7856 | 2020-08-06 |
| 1285250308 | Vzsss Inc | Internal Medicine | 11410 East Fwy Ste 164, Houston, TX 77029-2028 | 2020-06-24 |
| 1134744873 | Manoj B Vakil Md Pa | Internal Medicine | 1801 North Loop W Ste 42, Houston, TX 77008-1445 | 2020-06-09 |
| 1912526997 | Obur Health Pa | Internal Medicine | 1700 Post Oak Blvd Ste 600, Houston, TX 77056-3973 | 2020-04-10 |
| 1841824489 | Senior Care Providers Pllc | Internal Medicine | 1910 Aspley Ct, Houston, TX 77094-3431 | 2020-02-22 |
| 1306478730 | Sunny Medical Care Pllc | Internal Medicine | 18220 State Highway 249 Ste 100, Houston, TX 77070-4349 | 2020-02-04 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.