Phan, Aidan N
Phan, Aidan N is an individual health care provider with primary practice located at 3610 Shire Blvd Suite 200, Richardson TX 75082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Phan, Aidan N can be contacted via phone (214) 572-8633.Contact Information
Primary practice address
3610 Shire Blvd Suite 200
Richardson TX 75082
Phone: (214) 572-8633
Fax: (214) 572-8638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 23584 | Texas |
Profile Details
| NPI number | 1326241928 |
|---|---|
| LBN Legal business name | Phan, Aidan N |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2007 |
| Last updated | Apr 26th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326241928 | NPPES |
| Other | BP1-0022848 | INSTITUTIONAL PERMIT |
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