Individual provider · Type 1 NPI
Jack Phan, MD, PhD
Therapeutic Radiology Physician · Houston, TX
NPI number
1205150893
Active
Practice location
1515 Holcombe Blvd
Houston, TX 77030-4000
Mailing address
PO Box 4439
Houston, TX 77210-4439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Therapeutic Radiology Physician Primary | 2085R0203X | N1835 (TX) |
Therapeutic Radiology Physician: Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
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About NPI 1205150893
Jack Phan, MD, PhD's National Provider Identifier is 1205150893, issued on Mar 25, 2010. The primary taxonomy on file is Therapeutic Radiology Physician (2085R0203X), and the practice location is in Houston, TX. The record was last updated on Oct 3, 2024.