Individual provider Active NPI

Myphuong Theresa Phan, MD

  • Family Medicine Physician
  • League City, TX
National Provider Identifier
1699203133
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10059433 Issued in TX
Practice address
2220 E League City Pkwy Ste 102
League City, TX 77573-2100
Phone
(713) 363-9090
NPI assigned
May 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10059433 TX Primary

Addresses

Primary practice location

2220 E League City Pkwy Ste 102
League City, TX 77573-2100

Mailing address

18123 Upper Bay Rd Ste 200
Houston, TX 77058-3875
Phone (713) 363-9090

Other practice location 1

18123 Upper Bay Rd Ste 200
Houston, TX 77058-3875
Phone (713) 363-9090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813000977 TX Practitioner - Sports Medicine 9133523046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

2020 Nasa Pkwy
230 Tmhpo Ortho Dept
Houston, TX 77058-3683
Phone (713) 363-9090

2220 E League City Pkwy
Suite 102
League City, TX 77573-2100
Phone (713) 363-8016

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10059433TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Methodist Specialty Physicians CurrentSince Sep 2, 2025 Accepting new patients
TMH Physician Associates PLLC Family Medicine CurrentSince Aug 22, 2021 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 22, 2021 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients
Houston Methodist Past Accepting new patients

Locations

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

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

18123 Upper Bay Rd
Ste 200
Houston, TX 77058
Phone (281) 523-2000

2220 E League City Pkwy
Ste 102
League City, TX 77573
Phone (713) 363-8016

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

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: mphan333320@directhoustonmethodist.org

Organizations & group practices 5

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 2

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": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1699203133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18123 UPPER BAY RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583875",
            "telephone_number": "713-363-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E LEAGUE CITY PKWY STE 102",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732100",
            "telephone_number": "713-363-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18123 Upper Bay Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583875",
            "country_code": "US",
            "telephone_number": "713-363-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "MYPHUONG",
        "middle_name": "THERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10059433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.