Charles G. Phan, M.D. Gastrointestinal & Liver Disease Consultants,

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

L6141 Issued in TX

Legal business name

CHARLES G. PHAN, M.D. GASTROINTESTINAL & LIVER DISEASE CONSULTANTS,

Practice address

16659 Southwest Freeway
Suite #175
Sugar Land, TX 77479-2351

Phone

(281) 277-2213

Fax

(281) 277-0192

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Trinh Ngocmy Nguyen

Title

Office Manager

Phone

(281) 277-2213

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1912189796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FREEWAY",
            "address_2": "SUITE #175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792351",
            "telephone_number": "281-277-2213",
            "fax_number": "281-277-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FREEWAY",
            "address_2": "SUITE #175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792351",
            "telephone_number": "281-277-2213",
            "fax_number": "281-277-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES G. PHAN, M.D. GASTROINTESTINAL & LIVER DISEASE CONSULTANTS,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRINH",
        "authorized_official_middle_name": "NGOCMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-277-2213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L6141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "0080JV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159789001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wen-Li Chang
• David C Chao, M.D.
• Wun Jiun Chao, B.S.
• Elizabeth Chapa, SLPA
• Chara Lactation Care
• Charles L Cox PHD PA
• Dorothy Elaine Charles, L.P.C.
• Charlotte B. Alexander MD PA
• Sana Aziz Charolia
• Charter Home Health of Houston, LLC

• Gastroenterology Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.