Huyen T Phan, AGACNP-BC

Nurse Practitioner in Houston, TX. Individual provider (NPI-1).

NPI number1104596352

StatusActive

Last updated in NPPESDec 21, 2021

Details

NPI: 1104596352
Entity type: Individual (NPI-1)
Name: Huyen T Phan
Credential: AGACNP-BC
Sex: Female
Sole proprietor: Yes
Enumeration date: Sep 19, 2021
Certification date: Dec 21, 2021
Last updated: Dec 21, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363L00000X	Nurse Practitioner	1054694	TX	Yes
363LA2100X	Nurse Practitioner, Acute Care	1054694	TX

Practice location

6560 Fannin St Ste 1404
Houston, TX 77030-2706

Phone 713-566-5000

Mailing address

3322 Blueberry Turn Trl
Richmond, TX 77406-2280

Phone 832-868-2986

Is something wrong?

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