| Dr Bao Long Phan, MD | |
|
330 Municipal Dr, Suite 104, Richardson, TX 75080-3651 | |
| (972) 671-6398 | |
| (972) 235-6419 |
| Full Name | Dr Bao Long Phan |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 330 Municipal Dr, Richardson, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083787048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | L4198 (Texas) | Primary |
| 208200000X | Plastic Surgery | 13456 (Hawaii) | Secondary |
| 208200000X | Plastic Surgery | A61602 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bao Long Phan, MD 330 Municipal Dr, Suite 104, Richardson, TX 75080-3651 Ph: (972) 671-6398 | Dr Bao Long Phan, MD 330 Municipal Dr, Suite 104, Richardson, TX 75080-3651 Ph: (972) 671-6398 |
Dr. Chirag V Mehta, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3201 E President George Bush Hwy Ste 101, Richardson, TX 75082 Phone: 972-470-5000 |