| Khuong Phan, D.o., P.a. | |
|
920 Highway 287 N Suite 308 Mansfield TX 76063-2627 | |
| (817) 473-7197 | |
| (817) 473-7197 |
| Full Name | Khuong Phan, D.o., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 920 Highway 287 N, Mansfield, Texas |
| Authorized Official Name and Position | Khuong Phan (OWNER) |
| Authorized Official Contact | 8174737197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khuong Phan, D.o., P.a. 920 Highway 287 N Ste. 308 Mansfield TX 76063-2627 Ph: (817) 473-7197 | Khuong Phan, D.o., P.a. 920 Highway 287 N Suite 308 Mansfield TX 76063-2627 Ph: (817) 473-7197 |
| NPI Number | 1710006556 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 04/01/2008 |
| Medicare PECOS PAC ID | 9234223579 |
|---|---|
| Medicare Enrollment ID | O20070918000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710006556 | NPI | - | NPPES |
| 180563202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L7520 (Texas) | Primary |
| Provider Name | Khuong D Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033119540 PECOS PAC ID: 8224060462 Enrollment ID: I20050908000429 |
| Provider Name | Sumeesh Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255428827 PECOS PAC ID: 3173568656 Enrollment ID: I20070219000781 |
| Provider Name | Patrick J. Sherlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245661735 PECOS PAC ID: 0244463107 Enrollment ID: I20140429001547 |
| Provider Name | Minh-khuyen Nguyen Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740734326 PECOS PAC ID: 8628358660 Enrollment ID: I20161208000034 |
| Provider Name | Hayley Jordan Hendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104270628 PECOS PAC ID: 8022398825 Enrollment ID: I20161214000635 |
| Provider Name | Dino Cekro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528350402 PECOS PAC ID: 9931328754 Enrollment ID: I20170112002493 |
| Provider Name | Sachin S Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699196469 PECOS PAC ID: 2860774460 Enrollment ID: I20170113002423 |
| Provider Name | Meagan Renee Railey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639690597 PECOS PAC ID: 6406129972 Enrollment ID: I20170905001691 |
| Provider Name | Uyen Mong Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053807362 PECOS PAC ID: 8820345416 Enrollment ID: I20180730000324 |
| Provider Name | Pem Donka Reainthong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437742996 PECOS PAC ID: 2466846043 Enrollment ID: I20220224000742 |
Mother's Magical Milk Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 E Dallas St Ste 2, Mansfield, TX 76063 Phone: 817-405-9661 | |
Elysian Eyecare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 Highway 287 N Ste 105, Mansfield, TX 76063 Phone: 817-453-7591 Fax: 817-453-7715 | |
Soaring Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Us 287 Frontage Road, Suite 101, Mansfield, TX 76063 Phone: 214-817-8443 Fax: 214-387-1373 | |
Tmc Mansfield, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Highway 287 N Ste 300, Mansfield, TX 76063 Phone: 972-294-9666 | |
Livingspring Family Medical Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3807 E Broad St Ste 101, Mansfield, TX 76063 Phone: 817-717-9597 Fax: 833-992-1938 | |
Mansfield Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 E Debbie Ln Ste 1103, Mansfield, TX 76063 Phone: 281-429-8526 | |
Nangha Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Regency Pkwy, Suite 107, Mansfield, TX 76063 Phone: 817-477-5884 Fax: 877-613-9101 |