Ly Khac Phan (NPI# 1154504371, PAC ID# 2365591161) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1154504371 |
| PAC ID by PECOS | 2365591161 |
| Professional Enrollment ID | I20090528000147 |
| Full Name | Ly Khac Phan |
| Address |
3751 Matlock Rd Suite 115 Arlington TX 76015-4342 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2007 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3751 Matlock Rd, Suite 115, Arlington, TX 76015-4342 |
| Street Address |
3751 MATLOCK RD SUITE 115 |
| City | ARLINGTON |
| State | TX |
| Zip | 76015-4342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherley Aramath | Family Medicine | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| Kaitlyn A Gorman | Nurse Practitioner | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| Laura L Rice | Family Medicine | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| Tien M Truong | Family Medicine | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| David C Gouldy | Family Practice | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| Steven J Ciszewski | Physician Assistant | Arlington Family Practice, P.a. | 2415 Matlock Rd, Arlington, TX 76015-1619 |
| Bruce I Prager | Orthopedic Surgery | 701 Secretary Dr, Arlington, TX 76015-1623 | |
| Mark A Kazewych | Orthopedic Surgery | Arlington Orthopedic Associates Pa | 800 Orthopedic Way, Arlington, TX 76015-1629 |
| Michael Todd Daniels | Physical Medicine and Rehabilitation | Arlington Orthopedic Associates Pa | 800 Orthopedic Way, Arlington, TX 76015-1629 |
| Joseph Kay | Physical Medicine and Rehabilitation | Arlington Orthopedic Associates Pa | 800 Orthopedic Way, Arlington, TX 76015-1629 |
| Find all physicians in zip 76015 | |||
| City | ARLINGTON |
| Zip Code | 76015 |
| Specialty | OPTOMETRY |
| City + Specialty | ARLINGTON + OPTOMETRY |
Please comment or provide details below to improve the information on Ly Khac Phan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.