Kevin Bui Phan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

44055 Issued in TX

Practice address

18611 Eastfield Dr
Webster, TX 77598-1303

Phone

(281) 488-0179

Fax

(281) 282-9764

NPI assigned

Jul 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• H-E-B, LP

  • Community/Retail Pharmacy
  • Webster, TX
  • NPI 1881369916
  NPD

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1811620545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18611 EASTFIELD DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981303",
            "telephone_number": "281-488-0179",
            "fax_number": "281-282-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18611 EASTFIELD DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981303",
            "telephone_number": "281-488-0179",
            "fax_number": "281-282-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "KEVIN",
        "middle_name": "BUI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-09",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "310585",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "44055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PG Daley & CR Boone PTR Clear Lake Physical Therapy
• Diana Pham, N.P.
• Hoang Pham, MD
• Sarah Pham
• Zoe Ly Pham, OD
• PHCC-the Pointe Rehabilitation and Health Care Center, LLC
• Philip Eugene Rosen
• Tharun Philip
• Cynthia B Phillips, DO
• Diane C Phillips, AU.D., CCC-A

• All providers in Webster, TX
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.