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

Jenny Phan, PA-C

Individual provider Physician Assistant · NPI 1124568225

Jenny Phan, PA-C is a Physician Assistant in Katy, Texas. Qualified in 2016, 10 years ago. Registered with an NPI since 2017.

Years since qualifying
10
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

21770 Kingsland Blvd
Katy, TX 77450-2513
Phone: (281) 646-0740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124568225
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 8, 2017
Last updated in NPPESMarch 16, 2019
Mailing address21770 Kingsland Blvd, Katy, TX 77450-2513

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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