Active NPI
Phong Tan Tang
- Dentist
- Edna, TX
National Provider Identifier
1790697902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42858
- Practice address
- 1006 N Wells St
Edna, TX 77957-2151 - Phone
- (361) 235-4226
- NPI assigned
- Sep 22, 2026
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 42858 | TX | Primary |
Addresses
Primary practice location
1006 N Wells St
Edna, TX 77957-2151
Mailing address
7650 Springhill St Apt 702
Houston, TX 77021-6024
Phone (817) 932-0797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1790697902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 SPRINGHILL ST APT 702",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770216024",
"telephone_number": "817-932-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N WELLS ST",
"city": "EDNA",
"state": "TX",
"postal_code": "779572151",
"telephone_number": "361-235-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "PHONG",
"middle_name": "TAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-22",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "42858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edna, TX
- Elizabeth Sommerfeld, M.S., R.D., L.D.
- Southbrooke Manor Nursing and Rehabilitation Center, Inc (Southbrooke Manor Nursing and Rehabilitation Center)
- Stacey Brooke Spoon, PT, DPT
- Justine N Strelczyk, FNP-C
- Sunshine Play Therapy and Counseling
- Total Renal Care Texas Limited Partnership (Edna Dialysis Center)
- Rachel Turner, LPC
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0474)
- Paul Dean Williams, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.