Individual provider · Type 1 NPI

Tiny Phan

Physician Assistant · Amarillo, TX

NPI number 1104644467 Active

Practice location

2021 Evergreen St
Amarillo, TX 79107-7551

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA19842 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104644467

Tiny Phan's National Provider Identifier is 1104644467, issued on Sep 26, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Amarillo, TX. The record was last updated on Jan 21, 2026.