Aidan N Phan
Oral & Maxillofacial Surgeon
3610 Shire Blvd Suite 200
Richardson
, Texas 75082
Aidan N Phan
Oral & Maxillofacial Surgeon
3610 Shire Blvd Suite 200
Richardson
, Texas 75082
(214) 572-8638
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Aidan N Phan
- 3610 Shire Blvd Suite 200
- Richardson, TX
- Zip : 75082
- Fax : (214) 572-8638
- Phone : (214) 572-8633
Second Address
- Aidan N Phan
- 3610 Shire Blvd Suite 200
- Richardson, TX
- Zip : 75082
- Fax : (214) 572-8638
- Phone : (214) 572-8633
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Is Aidan N Phan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 23584 | TX |
National Provider Identifier
| NPI | 1326241928 |
|---|---|
| Provider Name | Aidan N Phan |
| First Address | Richardson, TX 75082 |
| Second Address | Richardson, TX 75082 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2007 |
| Last Update Date | 26/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BP1-0022848 | INSTITUTIONAL PERMIT (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.