Bao Long Phan, M.D.
Plastic Surgery Physician · Richardson, TX
Practice location
330 Municipal DrSuite 104
Richardson, TX 75080-3651
- Phone
- (972) 671-6398
- Fax
- (972) 235-6419
NPI record
- NPI
- 1083787048
- Entity type
- Individual (Type 1)
- Enumeration date
- November 16, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Physician Primary | 208200000X |
L4198 | TX |
| Plastic Surgery Physician | 208200000X |
13456 | HI |
| Plastic Surgery Physician | 208200000X |
A61602 | CA |
About Dr. Phan
Bao Long Phan, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 330 Municipal Dr, Suite 104, Richardson, TX 75080-3651. The NPI number 1083787048 was assigned on November 16, 2006 and the record was last updated on July 8, 2007.
Dr. Phan lists 3 licenses in the registry: #L4198 (TX) for Plastic Surgery Physician; #13456 (HI) for Plastic Surgery Physician; #A61602 (CA) for Plastic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Bao Long Phan, M.D.?
The NPI number is 1083787048.
What is the phone number of Dr. Phan?
The phone number listed for the practice location is (972) 671-6398.
Where is Dr. Phan located?
330 Municipal Dr, Suite 104, Richardson, TX 75080-3651.
What is the taxonomy code for Dr. Phan?
The primary taxonomy code is 208200000X – Plastic Surgery Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Plastic Surgery Physician providers in Richardson
- Derek Alexandre Rapp, M.D.3201 George Bush Hwy
- Chirag V. Mehta, M.D.3201 E President George Bush Hwy Ste 101