IndividualActive
Charlie Phung
NPI 1336647874 · Anesthesiologist Assistant · Houston, TX
Provider details
- NPI number
- 1336647874
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 24570611 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6431 Fannin St Ste 5020
Houston, TX 77030-1501
Phone: (713) 500-6200
Fax: (713) 500-0648
Approximate (ZIP-level) locationGet directions
Mailing address
5214 Cornish St
Houston, TX 77007-1910
Registry dates
- Enumerated
- 2018-01-30
- Last updated
- 2022-07-21
- Certified
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.