NPI 1669293841

Phoenix Physicians Ipa, LLC

Organisation Prevention Professional Houston, TX

Practice location

Address: 6030 S Rice Ave STE C, Houston, TX 77081-2944
Phone: (818) 399-8996
Mailing address: 6 Veranda, Newport Coast, CA 92657-1632

Authorised official

Name: Lan Nhu Bich Phan
Title: Administrator
Phone: (818) 399-8996

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

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Registry record

NPI: 1669293841
Entity type: Organization
NPI issued: 21 Oct 2024
Record last updated: 21 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.