IndividualActive
Jacqueline Phan, DDS
NPI 1346926748 · Dentist · Haslet, TX
Provider details
- NPI number
- 1346926748
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 39520 (TX)
Specialties & taxonomies
Dental Providers
Practice location
570 Fm 156 S Ste 100
Haslet, TX 76052-3625
Phone: (817) 663-1027
Approximate (ZIP-level) locationGet directions
Mailing address
570 Fm 156 S Ste 100
Haslet, TX 76052-3625
Registry dates
- Enumerated
- 2023-06-22
- Last updated
- 2025-12-07
- Certified
- 2025-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.