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1033119540
KHUONG DINH PHAN
MANSFIELD, TX
NPI
1033119540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX 7520)
Enumeration Date
2005-07-26
Last Update Date
2010-11-01
Business Address
Dr. KHUONG DINH PHAN D.O.
920 HIGHWAY 287 N SUITE 308
MANSFIELD, TX 76063-2627
Phone number: 817-473-7197
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Mailing Address
Dr. KHUONG DINH PHAN D.O.
8553 N BEACH ST PMB 296
FORT WORTH, TX 76244-4919
Phone number: 817-473-7197
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