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DR. BAO LONG PHAN M.D. NPI 1083787048


NPI Information

NPI: 1083787048
Provider Name: DR. BAO LONG PHAN, M.D.
Classification: Plastic Surgery - 208200000X
Entity Type: Individual
Address:
330 MUNICIPAL DR
SUITE 104
RICHARDSON, TX
ZIP 75080
Phone: (972) 671-6398
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DR. Bao Long Phan, M.D. is a plastic surgery in Richardson, TX. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DR. Bao Long Phan, M.D. NPI is 1083787048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 MUNICIPAL DR
SUITE 104
RICHARDSON, TX
ZIP 75080-651
Phone: (972) 671-6398
Fax: (972) 235-6419

The enumeration date for this NPI number is 11/16/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic Surgery13456HAWAIINo
2208200000XPlastic SurgeryA61602CALIFORNIANo
3208200000XPlastic SurgeryL4198TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H75255MEDICARE UPIN
28A1690MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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