Search › Texas › 122300000X
Johnathan Phan, DMD
NPI 1942722491 · on the registry since 2017
Practice
- Address
- 2415 Blalock Rd Ste A
Houston, TX 77080 - Phone
- (713) 929-3532
- Organisation at this address
- Space City Smiles
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-19
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 Texas