LAN PHAN VU

DALLAS, TX
NPI1033262787
Former NameLAN KIM PHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA01782)
Enumeration Date2007-01-18
Last Update Date2013-03-21
Business Address
-- LAN PHAN VU PA-C
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-645-4673
Mailing Address
-- LAN PHAN VU PA-C
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-4673