Most Relevant Information
Provider Data
| NPI Number: | 1003552936 |
| Provider Name: | LUAN HAI PHAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/12/2022 |
| Last Updated: | 11/05/2022 |
Provider Practice Location
6431 FANNIN STREET, MSB 1.134
HOUSTON
TX
77030
Practice Location Phone/Fax
| Phone: | 7135006500 |
| Fax: |
Provider Mailing Location
6431 FANNIN ST STE 310
HOUSTON
TX
770301501
Provider Mailing Phone/Fax
| Phone: | 7135004472 |
| Fax: |