Mansfield Medical Associates

LBN: Khuong Phan, D.O., P.A.
Mansfield Medical Associates is an health care organization with primary practice located at 920 Highway 287 N Suite 308, Mansfield TX 76063-2627. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Khuong Phan, D.O., P.A. can be contacted via phone (817) 473-7197, or through Phan, Khuong via phone (817) 473-7197.

Contact Information

Primary practice address
920 Highway 287 N Suite 308 Mansfield TX 76063-2627
Fax: (817) 473-7197
Website:
Authorized official contact:
Name: Phan, Khuong Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L7520 Texas

Profile Details

NPI number 1710006556
LBN Legal business name Khuong Phan, D.O., P.A.
DBA Doing business as Mansfield Medical Associates
Authorized official Phan, Khuong Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Apr 1st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710006556 NPPES
Texas MEDICAID 180563202

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