| Thinh Phu Phan, MD | |
|
400 Rosalind Redfern Grover Pkwy Ste 100, Midland, TX 79701-5849 | |
| (432) 687-1949 | |
| (432) 687-4251 |
| Full Name | Thinh Phu Phan |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 400 Rosalind Redfern Grover Pkwy Ste 100, Midland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609808864 | NPI | - | NPPES |
| 1590473-01 | Other | TX | GROUP MEDICAID |
| 1590648-01 | Other | TX | GROUP MEDICAID |
| 1871594424 | Other | TX | GROUP NPI |
| 00250T | Other | TX | GROUP MEDICARE PTAN |
| 00251T | Other | TX | GROUP MEDICARE PTAN |
| 1700017449 | Other | GROUP NPI | |
| 1477553477 | Other | GROUP NPI | |
| 1487887667 | Other | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | A80413 (California) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | M4444 (Texas) | Primary |
| Entity Name | Texas Oncology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Thinh Phu Phan, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Thinh Phu Phan, MD 400 Rosalind Redfern Grover Pkwy Ste 100, Midland, TX 79701-5849 Ph: (432) 687-1949 |
Dr. Jesse Jay Dalehite Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701 Phone: 432-221-1111 | |
Noah Wempe, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 W Illinois Ave, Suite 3130, Midland, TX 79701 Phone: 432-570-1421 | |
Mr. Larry Edwards, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 W Illinois Ave, Midland, TX 79701 Phone: 432-570-1421 Fax: 432-570-1427 | |
Varadareddy T Reddy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Andrews Hwy, Midland, TX 79703 Phone: 432-520-9292 Fax: 432-520-9299 | |
Dr. Cheryl W Hightower, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 W Illinois Ave, Midland, TX 79701 Phone: 432-570-1421 Fax: 432-570-1427 | |
Viet Nguyen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701 Phone: 432-221-2730 | |
Dr. Marlon Hughes, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 W Illinois Ave, Midland, TX 79701 Phone: 432-570-1421 Fax: 432-570-1427 |