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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518806660

Tai Phan is a Student in an Organized Health Care Education/Training Program in Conroe, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026
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Practice location Address checks out

2477 Fm 1488 Rd Apt 921
Conroe, TX 77384-4398
Phone: (806) 317-7622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TX)

Record details

NPI number1518806660
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2026
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address2477 Fm 1488 Rd Apt 921, Conroe, TX 77384-4398

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