NPIMap

Individual provider Active NPI

Hoang-Anh Lac Phan, D.O

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1407020035
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M9579 Issued in TX
Practice address
12000 Bellaire Blvd Ste 140
Houston, TX 77072-2577
Phone
(832) 644-0200
NPI assigned
Apr 15, 2008
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X M9579 TX
Internal Medicine Physician 207R00000X M9579 TX Primary

Addresses

Primary practice location

12000 Bellaire Blvd Ste 140
Houston, TX 77072-2577

Mailing address

4906 Ivory Meadows LN
Houston, TX 77084-3991
Phone (281) 919-8050

Other practice location 1

10150 Almeda Genoa Rd Ste H
Houston, TX 77075-2435
Phone (281) 547-1428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141105000114 TX Practitioner - HospitalistPractitioner - Internal Medicine 2466690094 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12000 Bellaire Blvd
Suite 140
Houston, TX 77072-2577
Phone (832) 644-0200

16332 FM 529 Rd
Suite D1
Houston, TX 77095-1418
Phone (832) 588-6791

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M9579TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 31, 2015 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jan 1, 2020 Accepting new patients
Lac Anh., PA Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Innovative Health Professionals PLLC CurrentSince Dec 15, 2021 Accepting new patients
Legacy Med LLC CurrentSince May 3, 2025 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
N & P Healthone LLC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Jun 5, 2019 Accepting new patients
Liberty County Hospital District No 1 Past Accepting new patients
Integrative Medical Care PLLC PastSince Jun 1, 2023 Accepting new patients

Locations

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

8208 Gulf Fwy
Ste 103
Houston, TX 77017
Phone (713) 437-7114

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

12000 Bellaire Blvd
Ste 140
Houston, TX 77072
Phone (832) 644-0200

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

7111 Harwin Dr
Ste 201
Houston, TX 77036
Phone (713) 266-3343

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

10150 Almeda Genoa Rd
Ste H
Houston, TX 77075
Phone (832) 644-0200

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

5201 Highway 6
Ste 595
Missouri City, TX 77459
Phone (281) 766-5480

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

4771 Sweetwater Blvd
Sugar Land, TX 77479
Phone (281) 265-5359

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Houston Transitional CareHouston, TX, CCN 676434 Skilled nursing facility Contracted Managing Employee Jan 1, 2020
Houston Transitional CareHouston, TX, CCN 676435 Skilled nursing facility Contracted Managing Employee Jan 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1407020035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 IVORY MEADOWS LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843991",
            "telephone_number": "281-919-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 BELLAIRE BLVD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722577",
            "telephone_number": "832-644-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10150 Almeda Genoa Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770752435",
            "country_code": "US",
            "telephone_number": "281-547-1428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "HOANG-ANH",
        "middle_name": "LAC",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "M9579",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.