Individual provider Active NPI

Nancy Phan

  • Anesthesiologist Assistant
  • Houston, TX
National Provider Identifier
1588028849
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
6411 Fannin St
Houston, TX 77030-1501
Phone
(713) 500-6200
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X Primary

Addresses

Primary practice location

6411 Fannin St
Houston, TX 77030-1501

Mailing address

5707 Souris Valley CT
Houston, TX 77085-5809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609001348 TX Practitioner - Anesthesiology Assistant 8921398553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

7600 Fannin St
Houston, TX 77054-1906
Phone (713) 790-1349

7900 Fannin St
Suite 2300
Houston, TX 77054-2947
Phone (713) 790-1349

Hospital & facility affiliations

  • Womans Hospital of Texas,the Hospital, Houston, TX, CCN 450674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians Network PLLC CurrentSince Mar 1, 2025 Accepting new patients
Ut Physicians CurrentSince Jun 6, 2016 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Dec 1, 2021 Accepting new patients
Ut Physicians CurrentSince Jun 6, 2016 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiologist Assistant CurrentSince Dec 1, 2021 Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients

Locations

2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

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

7900 Fannin St
Ste 2
Houston, TX 77054
Phone (713) 790-1349

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1588028849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 SOURIS VALLEY CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770855809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.