Individual provider · Type 1 NPI

Ngoc Bao Phan, NP

Gerontology Nurse Practitioner · Houston, TX

NPI number 1124838529 Active

Practice location

6411 Fannin Street
Houston, TX 77030

Mailing address

6411 Fannin St
Houston, TX 77030-1501

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X830835 (TX)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1124838529

Ngoc Bao Phan, NP's National Provider Identifier is 1124838529, issued on Jan 9, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Houston, TX. The record was last updated on Jun 26, 2026.