Individual provider Active NPI

Thong Van Phan, RN

  • Registered Nurse
  • Sherman, TX
National Provider Identifier
1497255350
Registry record updated Feb 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
929275 Issued in TX
Practice address
8001 S US Highway 75
Sherman, TX 75090-5707
Phone
(903) 532-1400
NPI assigned
Feb 17, 2018
Last updated
Feb 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 929275 TX Primary

Addresses

Primary practice location

8001 S US Highway 75
Sherman, TX 75090-5707

Mailing address

12807 Huntington Field Dr
Houston, TX 77099-2914
Phone (713) 340-4976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
929275TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aoc FL, LLC PastSince Nov 17, 2019 Accepting new patients
Aoc TX, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518825600000",
    "number": "1497255350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12807 HUNTINGTON FIELD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992914",
            "telephone_number": "713-340-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 S US HIGHWAY 75",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905707",
            "telephone_number": "903-532-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THONG",
        "middle_name": "VAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "929275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.