Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Uyen Ngoc Bao Phan, PA

Individual provider Physician Assistant · NPI 1669857595

Mrs. Uyen Ngoc Bao Phan, PA is a Physician Assistant in Mansfield, Texas. Qualified in 2015, 11 years ago. Practices with Mansfield Dermatology, PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2800 E Broad St Ste 124
Mansfield, TX 76063-6409
Phone: (817) 539-0959
Fax: (817) 539-0480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TX)

Record details

NPI number1669857595
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 21, 2015
Last updated in NPPESFebruary 11, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mansfield Dermatology, Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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