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

Tiny Phan

Individual provider Physician Assistant · NPI 1104644467

Tiny Phan is a Physician Assistant in Amarillo, Texas. Graduated from University of Oklahoma College of Medicine in 2025, 1 year ago. Licensed in Texas.

Years since qualifying
1
Trained at
University of Oklahoma College of Medicine
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

2021 Evergreen St
Amarillo, TX 79107-7551
Phone: (806) 236-2321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19842 (TX)

Record details

NPI number1104644467
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address2021 Evergreen St, Amarillo, TX 79107-7551

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Amarillo