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1699203133
MYPHUONG THERESA PHAN
AUSTIN, TX
NPI
1699203133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX BP10059433)
Enumeration Date
2017-05-29
Last Update Date
2022-07-21
Business Address
MYPHUONG THERESA PHAN MD
1313 RED RIVER ST STE 100
AUSTIN, TX 78701-1923
Phone number: 512-324-7318
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Mailing Address
MYPHUONG THERESA PHAN MD
1313 RED RIVER ST STE 100
AUSTIN, TX 78701-1923
Phone number: 512-324-7318
Copy
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