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

Last updated

May 23, 2026By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• H-E-B, LP

  dba HEB Pharmacy #769

  • 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 (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 (The Pointe Rehabilitation and Healthcare Center)
• Philip Eugene Rosen
• Tharun Philip
• Cynthia B Phillips, DO
• Diane C Phillips, AU.D., CCC-A

• Student in an Organized Health Care Education/Training Program in Webster, TX
• Providers in Webster, TX by specialty
• 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.