LINDA K PHAN


Address: 252 Matlock Rd Ste 300, Mansfield, TX 76063-4294
Phone: 8175575473

LINDA K PHAN (NPI# 1235245895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235245895
Entity Type Individual
Full Name LINDA K PHAN
Credential MD
Practice Address 252 Matlock Rd Ste 300
Mansfield
TX 76063-4294
Practice Telephone 8175575473
Practice Fax Number 8175390476
Mailing Telephone 8175575473
Mailing Fax Number 8175390476
Enumeration Date 2006-08-23
Last Update Date 2019-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics M4914 TX Allopathic & Osteopathic Physicians
N 208000000X Pediatrics TEMPLP TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 184093605 05
GRP NPI NUMBER 1669442042 01

Other Providers LINDA PHAN

NPI Name Taxonomy Address Enumeration
1447614706 Linda Phan Pharmacist 3630 Business Dr Ste L, Sacramento, CA 95820-2163 2016-04-12
1619093812 Linda Q Phan Optometrist 208 Great Mall Dr, Milpitas, CA 95035-8040 2007-03-21
1639673221 Linda Kim Phan Student in an Organized Health Care Education/Training Program 100 E 77th St, New York, NY 10075-1850 2018-03-20
1619336633 Linda Phan Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2016-02-18
1073896601 Linda Kieuloan Phan Pharmacist 7155 24th St, Sacramento, CA 95822-4494 2011-09-20

Office Location

Street Address 252 MATLOCK RD STE 300
City MANSFIELD
State TX
Zip Code 76063-4294

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
Find all providers in zip 76063

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700123049 Christy Kelly Ciccariello Pediatrics 4 Samoset Way, Mansfield, MA 02048 2013-01-07
1891055117 Rebecca J Nduaguba Pediatrics 1029 S Trimble Rd, Mansfield, OH 44906-3427 2012-05-21
1396952263 Erin Elizabeth Wallace Pediatrics 252 Matlock Rd Ste 330, Mansfield, TX 76063-4294 2007-05-17
1992917702 Arlington Physicians, P.a. Pediatrics 706 Hunters Row Ct, Mansfield, TX 76063-4001 2007-05-04
1497892061 Chandra R. Shaker Pediatrics 120 Sturges Ave Ste 1, Mansfield, OH 44903-2399 2007-01-31
1275689788 Colleen J Mckinney Pediatrics 540 S Trimble Rd, Mansfield, OH 44906-3418 2007-01-26
1811096696 Gretchen R Prater Pediatrics 2140 Fm 157 North, Mansfield, TX 76063-4847 2006-09-21
1376550244 Marcia T Sampson Md Pa Pediatrics 2140 Fm 157 N, Mansfield, TX 76031 2006-08-02
1407821655 Kerstin Ann Archer Pediatrics 2140 Highway 157 N, Mansfield, TX 76063-4847 2006-02-21
1396715215 Julie A Tomberlin Pediatrics 706 Hunters Court, Mansfield, TX 76063 2006-01-24
Find all providers in MANSFIELD

Competitor

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City MANSFIELD
Zip Code 76063

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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