Active NPI
Tri Minh Phung, MD
- Anesthesiology Physician
- Dallas, TX
National Provider Identifier
1689874190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- N8443
- Practice address
- 5323 Harry Hines Blvd
Department of Anesthesiology and Pain Management
Dallas, TX 75390-9068 - Phone
- (214) 648-5460
- NPI assigned
- Jul 23, 2007
- Last updated
- Dec 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | N8443 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Department of Anesthesiology and Pain Management
Dallas, TX 75390-9068
Mailing address
5323 Harry Hines Blvd
Department of Anesthesiology and Pain Management
Dallas, TX 75390-9068
Phone (214) 648-5460
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1689874190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY AND PAIN MANAGEMENT",
"city": "DALLAS",
"state": "TX",
"postal_code": "753909068",
"telephone_number": "214-648-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY AND PAIN MANAGEMENT",
"city": "DALLAS",
"state": "TX",
"postal_code": "753909068",
"telephone_number": "214-648-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUNG",
"first_name": "TRI",
"middle_name": "MINH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "N8443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.