Phan, Nghi Bao
Phan, Nghi Bao is an individual health care provider with primary practice located at 2831 E President George Bush Hwy , Richardson TX 75082-3561. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Phan, Nghi Bao can be contacted via phone (469) 204-2021.Contact Information
Primary practice address
2831 E President George Bush Hwy
Richardson TX 75082-3561
Phone: (469) 204-2021
Fax: (469) 204-2036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N2730 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N2730 | Texas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | N2730 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | N2730 | Texas |
Profile Details
| NPI number | 1649474222 |
|---|---|
| LBN Legal business name | Phan, Nghi Bao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Jul 6th, 2016 - about 9 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 | 1649474222 | NPPES |
| Texas | MEDICAID | 220318403 | |
| Texas | Other | 3851804218 | |
| Texas | MEDICAID | 220318404 | |
| Texas | Other | P01294349 |
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