Phan, Khuong Dinh
Phan, Khuong Dinh is an sole proprietor health care provider with primary practice located at 920 Highway 287 N Suite 308, Mansfield TX 76063-2627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Phan, Khuong Dinh can be contacted via phone (817) 473-7197.Contact Information
Primary practice address
920 Highway 287 N Suite 308
Mansfield TX 76063-2627
Phone: (817) 473-7197
Fax: (817) 473-7198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 7520 | Texas |
Profile Details
| NPI number | 1033119540 |
|---|---|
| LBN Legal business name | Phan, Khuong Dinh |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Nov 1st, 2010 - about 14 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 | 1033119540 | NPPES |
| Other | P00434893 | MEDICARE RAILROAD PTAN | |
| Other | 8X9320 | MEDICARE RAILROAD PTAN | |
| Other | DG4235 | MEDICARE RAILROAD PTAN | |
| MEDICAID | 180563202 | MEDICARE RAILROAD PTAN |
Popular Providers
-
Bures, Gretchen M
2700 E Broad St , Mansfield TX 76063-5899 -
Huang, Qin
2700 E Broad St , Mansfield TX 76063-5899 -
Lenamond, Shelley Guzman
2700 E Broad St , Mansfield TX 76063-5899 -
Phillips, Rita Cathy
908 Yukon Dr , Mansfield TX 76063-6345 -
Mcinnis, Michael G
252 Matlock Rd Suite 130, Mansfield TX 76063-6413 -
Collini, Wendy Renee
309 Regency Pkwy Suite #107, Mansfield TX 76063-5165 -
Szuszkiewicz-Garcia, Magdalene Maria
2251 Country Club Drive Ste 131, Mansfield TX 76063 -
Pudhota, Sunitha Gudapati
309 Regency Pkwy Ste 101 , Mansfield TX 76063-5165