MRS. UYEN NGOC BAO PHAN (NPI# 1669857595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669857595 |
| Entity Type | Individual |
| Full Name | MRS. UYEN NGOC BAO PHAN |
| Credential | PA |
| Practice Address |
2800 E Broad St Suite 124 Mansfield TX 76063-6409 |
| Mailing Address |
723 N Fielder Rd Suite C Arlington TX 76012-4697 |
| Practice Telephone | 8175390959 |
| Practice Fax Number | 8175390480 |
| Mailing Telephone | 8172611122 |
| Mailing Fax Number | 8172611123 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639511918 | Uyen Phan | Pharmacy Technician | 3819 S Angel Pl, Seattle, WA 98118-3131 | 2013-07-26 |
| 1215164652 | Uyen T Phan | Dental Hygienist | 1927 Faithon P Lucas Sr Blvd # Sr, Suite120, Mesquite, TX 75181-1696 | 2009-06-11 |
| 1356958193 | Uyen Phan | Pharmacist | 12353 Fm 1960 Rd W, Houston, TX 77065-4993 | 2020-09-25 |
| 1427498286 | Uyen Thuc Phan | Family Medicine | 17065 S Outer Rd, Belton, MO 64012-2165 | 2013-06-26 |
| Street Address |
2800 E BROAD ST SUITE 124 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942287388 | John Tiu | Internal Medicine | 2800 E Broad St, Suite 514, Mansfield, TX 76063-6417 | 2005-12-28 |
| 1740736099 | Kyla Crispe | Physician Assistant | 2800 E Broad St, Ste #124, Mansfield, TX 76063-6414 | 2016-08-28 |
| 1902264732 | Paige Herlihy | Physician Assistant | 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 | 2016-02-08 |
| 1215392840 | Center for Scoliosis and Advanced Spine Surgery | Orthopaedic Surgery | 2800 E Broad St, 512, Mansfield, TX 76063-6409 | 2015-12-26 |
| 1982945127 | Hospitalist Partners of Excellence In Mansfield (h.o.p.e), P.a. | Clinic/Center | 2800 E Broad St, Suite 308, Mansfield, TX 76063-6412 | 2013-03-13 |
| 1902160708 | Helen Kaporis | Dermatology | 2800 E Broad St, Ste 124, Mansfield, TX 76063-6409 | 2012-06-27 |
| 1164793246 | Amy Renee Lewis | Nurse Practitioner | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2012-01-20 |
| 1144541202 | Magdala Poon | Psychiatry & Neurology | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2010-06-11 |
| 1598913253 | Mansfield Dermatology, Pllc | Dermatology | 2800 E Broad St, Suite 408, Mansfield, TX 76063-6414 | 2008-09-05 |
| 1700040490 | Dallas Oncology Consultants Pa | Internal Medicine | 2800 E Broad St, Suite 212, Mansfield, TX 76063-6409 | 2008-07-11 |
| Find all providers in the same location | ||||
| 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 Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710297155 | Kara Leigh Kehoe | Physician Assistant | 305 Regency Pkwy Ste 405, Mansfield, TX 76063-5169 | 2010-10-19 |
| 1366558520 | Rita Roantree Foley | Physician Assistant | 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 | 2006-08-21 |
| 1407460165 | Andrea Joyce Lankester | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1396384434 | Lauren Colleen Bates | Physician Assistant | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-01-06 |
| 1881231637 | Okechukwu Aniagoh | Physician Assistant | 305 Regency Pkwy Ste 405, Mansfield, TX 76063-5169 | 2019-11-27 |
| 1144862566 | Marissa Catherine Lacey | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-10-17 |
| 1932671211 | Joseph Kleinmann | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2018-12-26 |
| 1881164010 | Mid-ohio Emergency Group, LLC | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2018-11-30 |
| 1326528993 | Alexa D Philipose | Physician Assistant | 801 Matlock Rd, Mansfield, TX 76063-9174 | 2018-08-14 |
| 1073091245 | Joshua Dewayne Wright | Physician Assistant | 2975 E Broad St Ste 200, Mansfield, TX 76063 | 2018-07-31 |
| Find all providers in MANSFIELD | ||||
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| 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.