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

Dr. Bao Long Phan, MD

Individual provider Plastic Surgery Physician · NPI 1083787048

Dr. Bao Long Phan, MD is a Plastic Surgery Physician in Richardson, Texas. Practices as a sole proprietor. Licensed in California, Hawaii and Texas.

Licensed in
CA, HI, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

330 Municipal Dr Ste 104
Richardson, TX 75080-3651
Phone: (972) 671-6398
Fax: (972) 235-6419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence L4198 (TX)
Plastic Surgery Physician Taxonomy 208200000X · Licence 13456 (HI)
Plastic Surgery Physician Taxonomy 208200000X · Licence A61602 (CA)

Record details

NPI number1083787048
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address330 Municipal Dr, Suite 104, Richardson, TX 75080-3651

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