Phan, Uyen Ngoc Bao

Phan, Uyen Ngoc Bao is an individual health care provider with primary practice located at 2800 E Broad St Suite 124, Mansfield TX 76063-6409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Phan, Uyen Ngoc Bao can be contacted via phone (817) 539-0959.

Contact Information

Primary practice address
2800 E Broad St Suite 124 Mansfield TX 76063-6409
Phone: (817) 539-0959
Fax: (817) 539-0480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Texas

Profile Details

NPI number 1669857595
LBN Legal business name Phan, Uyen Ngoc Bao
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2015
Last updated Feb 11th, 2019 - about 5 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.

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