Phan, Linda K

Phan, Linda K is an individual health care provider with primary practice located at 252 Matlock Rd Ste 300 , Mansfield TX 76063-4294. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Phan, Linda K can be contacted via phone (817) 557-5473.

Contact Information

Primary practice address
252 Matlock Rd Ste 300 Mansfield TX 76063-4294
Phone: (817) 557-5473
Fax: (817) 539-0476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TEMPLP Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M4914 Texas

Profile Details

NPI number 1235245895
LBN Legal business name Phan, Linda K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Nov 1st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235245895 NPPES
Texas MEDICAID 184093605
Texas Other 1669442042

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