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NPI Profile for Dr JACK PHAN in HOUSTON, TX.
January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiation Oncology |
2085R0203X |
| NPI Number | 1205150893 |
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| Status | Active | |
| Credentials | M.D., PH.D. | |
| Entity | Individual | |
| Enumeration date | 03/25/2010 | |
| Last updated | 10/03/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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JACK PHAN
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JACK PHAN, M.D., PH.D.