DR. JACK PHAN


Address: 2926 Coral Rocks Ct, Missouri City, TX 77459-7612
Phone: 3109306594

DR. JACK PHAN (NPI# 1205150893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205150893
Entity Type Individual
Full Name DR. JACK PHAN
Credential M.D., PH.D.
Practice Address 2926 Coral Rocks Ct
Missouri City
TX 77459-7612
Practice Telephone 3109306594
Mailing Telephone 3109306594
Enumeration Date 2010-03-25
Last Update Date 2010-03-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0203X Radiology
Specialization: Therapeutic Radiology
N1835 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 2926 CORAL ROCKS CT
City MISSOURI CITY
State TX
Zip Code 77459-7612

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1326608522 Kyle Macdonald Counselor 9029 Sienna Ranch Road, Missouri City, TX 77459 2019-06-19
1275004947 Andrea Christina Bland Case Manager/Care Coordinator 3426 Covey Trail Dr, Missouri City, TX 77459 2018-12-06
1477035814 Golden Williams Registered Nurse 4502 Riverstone Boulevard, Missouri City, TX 77459 2018-09-01
1457831216 Tania Leida Karmout Physical Therapist 4710 Lexington Boulevard, Missouri City, TX 77459 2018-08-20
1457831513 Laila Dalope Clinic/Center 811 Sienna Springs Blvd, 521, Missouri City, TX 77459 2018-08-17
1477039196 Tionyce Johnson Behavior Technician 3552 Fm 1092, Missouri City, TX 77459 2018-07-16
1861990681 Nitta Ogu Nurse Practitioner 3631 John Hancock Lane, Missouri City, TX 77459 2018-01-26
1881100998 Higden Dialysis LLC Clinic/Center 9340 Highway 6, Suite 400, Missouri City, TX 77459 2017-12-27
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Taxonomy Information

Taxonomy Code 2085R0203X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Therapeutic Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922645399 Sung-yen Lin Radiology 2712 Pittsburgh St, Houston, TX 77005-3948 2019-12-04
1265696967 James Eustace Bizzell II Radiology 3500 Fairmount St, 626, Dallas, TX 75219-4778 2008-07-11
1841489622 El Paso Radiation Medicine, P.a. Radiology 1401 W Expressway 83, San Benito Cancer Center, San Benito, TX 78586-7770 2007-10-17
1093894198 David L Janssen Radiology 2807 N Ben Wilson St, Suite 201, Victoria, TX 77901-5730 2006-11-02
1275556391 Brownwood Hospital Lp Radiology 1501 Burnet Dr, Brownwood, TX 76081 2006-07-26
1073513586 Arthur Donald Hamberger Radiology 1631 North Loop W, Suite 150, Houston, TX 77008-1529 2005-07-26
1134127293 Nyun Calvin Han Radiology 7420 Remcon Cir Ste A, El Paso, TX 79912-3537 2005-07-13
1013372010 Jeffrey Gilroy Md Pa Radiology 721 Clinic Dr, Tyler, TX 75701-2043 2015-12-18
1326345190 Julianne Pollard Radiology 1515 Holcombe Blvd, Houston, TX 77030-4009 2011-02-14
1730416090 Abdul Sahib Mohammed Al-abdulla Radiology 1195 Garner Field Rd, Bldg.a, Ste. 100, Uvalde, TX 78801-4820 2009-11-06
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Competitor

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City MISSOURI CITY
Zip Code 77459

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Dataset Information

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.

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