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

DR. JACK PHAN, M.D., PH.D.

Active Sole Proprietor

DR. JACK PHAN, M.D., PH.D. is a 2085R0203X healthcare provider located in HOUSTON, Texas. NPI 1205150893 is currently active in the NPPES registry. Verify at CMS.

2085R0203X · HOUSTON, TX

Registration Details

NPI Number
1205150893
Provider Type
Individual
Gender
Male
NPI Issued
Mar 25, 2010 (16.410616837489 yrs)
Last Updated
Oct 3, 2024
License
N1835 (TX)
Sole Proprietor
Yes

Practice Information

Address
1515 HOLCOMBE BLVD
HOUSTON, TX, 770304000
Browse TX providers · Browse ZIP 77030
Phone
7137926161
Primary Specialty
2085R0203X
2085R0203X

Other 2085R0203X Providers in HOUSTON, TX

Name Credential NPI
DR. ARTHUR DONALD HAMBERGER M.D. 1073513586
DR. MARK FRANCIS BRODIE MD 1700857679
CHARLES T CLAYTON M.D. 1710082920
DEBORAH A. KUBAN M.D. 1376648188
PATRICIA J. EIFEL M.D. 1548361603
WILLIAM H. MORRISON M.D. 1396836920
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.