Phong Ta

NPI 1083298509 · on the registry since 2021

Practice

Address: 7301 N 16th St Ste 202
Phoenix, AZ 85020
Phone: (602) 753-2345
Organisation at this address: Mh 7 Llc
Upscale Home Care
Procura Wound Care
Np Psychiatry Pllc
Tailoring Minds Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 40

Registry record

Primary taxonomy: 213E00000X
213E00000X
Also registered as: 390200000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona