Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlie Phung

Individual provider Anesthesiologist Assistant · NPI 1336647874

Charlie Phung is an Anesthesiology Assistant in Houston, Texas. Qualified in 2018, 8 years ago. Practices with UT Physicians, a 1,732-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

6431 Fannin St Ste 5020
Houston, TX 77030-1501
Phone: (713) 500-6200
Fax: (713) 500-0648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 24570611 (TX)

Record details

NPI number1336647874
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2018
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address5214 Cornish St, Houston, TX 77007-1910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ut Physicians — 1732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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