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1366282675
JONATHAN BAO-NAM PHAN
GALVESTON, TX
NPI
1366282675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX BP10089900)
Enumeration Date
2024-05-27
Last Update Date
2024-05-27
Business Address
Dr. JONATHAN BAO-NAM PHAN MD
301 UNIVERSITY BLVD
GALVESTON, TX 77555-5303
Phone number: 409-747-1883
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Mailing Address
Dr. JONATHAN BAO-NAM PHAN MD
PO BOX 650859
DALLAS, TX 75265-0859
Phone number: 409-747-1883
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