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1205150893
JACK PHAN
HOUSTON, TX
NPI
1205150893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0203X Radiology, Therapeutic Radiology
(Licence: TX N1835)
Enumeration Date
2010-03-25
Last Update Date
2024-10-03
Business Address
Dr. JACK PHAN M.D., Ph.D.
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4000
Phone number: 713-792-6161
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Mailing Address
Dr. JACK PHAN M.D., Ph.D.
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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