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

Mr. Thanh Phan, APRN

Individual provider Nurse Practitioner · NPI 1083377568

Mr. Thanh Phan, APRN is a Nurse Practitioner in Plano, Texas. Qualified in 2021, 5 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3447 Renner Rd Ste 120
Plano, TX 75074-0051
Phone: (469) 384-2989
Fax: (469) 666-8180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1057298 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1057298 (TX)

Record details

NPI number1083377568
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedOctober 20, 2021
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address3447 Renner Rd Ste 120, Plano, TX 75074-0051

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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