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1710238134
THUY VY PHAN
FORT WORTH, TX
NPI
1710238134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA08012)
Enumeration Date
2012-09-25
Last Update Date
2018-07-23
Business Address
THUY VY PHAN PA-C
2500 CIRCLE DR
FORT WORTH, TX 76119
Phone number: 817-702-7340
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Mailing Address
THUY VY PHAN PA-C
1412 MAY ST
FORT WORTH, TX 76104-7639
Phone number: 817-702-2450
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