Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BAO LONG PHAN, M.D.

Active Sole Proprietor

DR. BAO LONG PHAN, M.D. is a Plastic Surgery healthcare provider located in RICHARDSON, Texas. NPI 1083787048 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · RICHARDSON, TX

Registration Details

NPI Number: 1083787048
Provider Type: Individual
Gender: Male
NPI Issued: Nov 16, 2006 (19.761391678937 yrs)
Last Updated: Jul 8, 2007
Licenses: L4198 (TX)

13456 (HI)

A61602 (CA)
Sole Proprietor: Yes

Practice Information

Address: 330 MUNICIPAL DR

SUITE 104

RICHARDSON, TX, 750803651
Browse TX providers · Browse ZIP 75080
Phone: 9726716398
Fax: 9722356419
Primary Specialty: Plastic Surgery
208200000X
Additional Specialty: Plastic Surgery
Additional Specialty: Plastic Surgery

Other Plastic Surgery Providers in RICHARDSON, TX

Name	Credential	NPI
DR. DEREK ALEXANDRE RAPP	M.D.	1376704346
DR. CHIRAG V MEHTA	M.D.	1437471257

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.