Marcel Phan
Individual provider Active NPI Pharmacist · Houston, TX
NPI 1861093809 · NPPES record last updated Nov 5, 2020
Key facts
- NPI
- 1861093809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 38176 (TX)
- Practice address
- 9700 Hillcroft St
Houston, TX 77096-3808 - Phone
- (713) 283-7437
- Fax
- (713) 283-7439
- NPI assigned
- Nov 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 38176 | TX | Yes |
Addresses
Primary practice location
9700 Hillcroft St
Houston, TX 77096-3808
Mailing address
9700 Hillcroft St
Houston, TX 77096-3808
Other practice location 1
9700 Hillcroft St
Houston, TX 77096-3808
Phone (713) 283-7437
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.