| Minh Phan D.d.s Pa | |
|
720 Pasadena Blvd Pasadena TX 77506-5334 | |
| (713) 473-3163 | |
| Not Available |
| Full Name | Minh Phan D.d.s Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 720 Pasadena Blvd, Pasadena, Texas |
| Authorized Official Name and Position | Minh Phan (PRESIDENT) |
| Authorized Official Contact | 7134733163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minh Phan D.d.s Pa 720 Pasadena Blvd Pasadena TX 77506-5334 Ph: (713) 473-3163 | Minh Phan D.d.s Pa 720 Pasadena Blvd Pasadena TX 77506-5334 Ph: (713) 473-3163 |
| NPI Number | 1174800486 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174800486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19016 (Texas) | Primary |
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