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1528250701
THANH PHAN
FRISCO, TX
NPI
1528250701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA05186)
Enumeration Date
2007-08-13
Last Update Date
2016-05-02
Business Address
-- THANH PHAN physician assistant
15950 ELDORADO PKWY STE 400
FRISCO, TX 75035-5802
Phone number: 214-390-5388
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Mailing Address
-- THANH PHAN physician assistant
15950 ELDORADO PKWY STE 400
FRISCO, TX 75035-5816
Phone number: 214-390-5388
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