IndividualActive
Bao Phan, M.D.
NPI 1083787048 · Plastic Surgery Physician · Richardson, TX
Provider details
- NPI number
- 1083787048
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- L4198 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
330 Municipal Dr
Suite 104
Richardson, TX 75080-3651
Phone: (972) 671-6398
Fax: (972) 235-6419
Approximate (ZIP-level) locationGet directions
Mailing address
330 Municipal Dr
Richardson, TX 75080-3651
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.