Tai Phan · Jimmy Phan · Student in an Organized Health Care Education/Training Program

2477 Fm 1488 Rd Apt 921, Conroe, TX 77384-4398

Overview

Tai Phan is a Student in an Organized Health Care Education/Training Program practicing in Conroe, Texas. The National Provider Identifier (NPI) is #1518806660, which was assigned on March 25, 2026, and the registration record was last updated on March 25, 2026. The practitioner's main practice location is at 2477 Fm 1488 Rd Apt 921, Conroe, TX 77384-4398; the contact telephone number is 8063177622. The primary taxonomy of Tai Phan is Student in an Organized Health Care Education/Training Program (390200000X). Tai Phan is licensed to practice in the state of Texas.

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Information

NPI 1518806660
Entity Type Individual
Provider Name TAI PHAN
Other Name JIMMY PHAN
(Other Name)
Gender Male
Practice Address 2477 Fm 1488 Rd Apt 921
Conroe
TX 77384-4398
Practice Telephone 8063177622
Mailing Address 2477 Fm 1488 Rd Apt 921
Conroe
TX 77384-4398
Mailing Telephone 8063177622
Certification Date 2026-03-25
Enumeration Date 2026-03-25
Last Update Date 2026-03-25
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y390200000XStudent in an Organized Health Care Education/Training ProgramTX

Taxonomy Information

Primary Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Jerry Sourbeer Jr. 600 Gresham Dr, Norfolk, VA 23507-1904Student in an Organized Health Care Education/Training Program2026-06-06
Cassandra Cristina Funk 1115 W Call St, Tallahassee, FL 32304-3556Student in an Organized Health Care Education/Training Program2026-06-06
Annelise Betty Cox 1919 7th Ave S, Birmingham, AL 35233-2005Student in an Organized Health Care Education/Training Program2026-06-06
Brannen Carlile King 1115 W Call St, Tallahassee, FL 32304-3556Student in an Organized Health Care Education/Training Program2026-06-06
Eric Haigh 650 E Indian School Rd, Phoenix, AZ 85012-1839Student in an Organized Health Care Education/Training Program2026-06-06
Jeniffer Esmeralda Mendez 3600 N Garfield St, Midland, TX 79705-6329Student in an Organized Health Care Education/Training Program2026-06-06
Nishanth Chalasani 4590 Nash Way, Saint Louis, MO 63110-1020Student in an Organized Health Care Education/Training Program2026-06-06
Harrison Scott Graber 1919 7th Ave S, Birmingham, AL 35233-2005Student in an Organized Health Care Education/Training Program2026-06-06
Bianca Sjoenell 98 S Los Robles Ave, Pasadena, CA 91101-2433Student in an Organized Health Care Education/Training Program2026-06-06
Varsha Vintu Maliyil 3600 N Garfield St, Midland, TX 79705-6329Student in an Organized Health Care Education/Training Program2026-06-06
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Location Information

Street Address 2477 FM 1488 RD APT 921
City CONROE
State TX
Zip Code 77384-4398
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Majeski Health and Wellness, PLLC 18550 I-45 S, Conroe, TX 77384Physical Medicine & Rehabilitation Physician2021-04-20
Lora Alexandra Moore 2400 Fm Rd 1488, #200, Conroe, TX 77384Dentist2021-07-13
Alina Nichole Smith Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384Physical Therapist2018-11-13
Reshanda Baudy 2477 F.M. 1488 Rd, 536, Conroe, TX 77384Pediatric Registered Nurse2019-01-31
Christina Coleman 15102 I45 S., Conroe, TX 77384Behavior Technician2023-08-30
Kidney Care Institute PLLC 2400 Farm To Market Rd 1488 #400, Conroe, TX 77384Nephrology Physician2021-06-03
Aaron Philbrick 17600 I-45 S, The Woodlands, TX 77384Student in an Organized Health Care Education/Training Program2023-07-17
Karin Nicole Kuusisto Texas Children's Hospital The Woodlands, 17580 I-45 S, The Woodlands, TX 77384Pediatrics Physician2020-03-31
University of Texas Md Anderson Cancer Center 100 Fellowship Drive, The Woodlands, TX 77384Institutional Pharmacy2021-05-12
Sarah Kathleen Slocum · Sarah Kathleen Combs 17580 I-45 South, The Woodlands, TX 77384Pediatric Physical Therapist2023-08-08
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Anh Phan Dmd PC 6458 Tupelo Dr Ste A, Citrus Heights, CA 95621-1704General Practice Dentistry2026-05-04
Leanne Phan 590 N Vermont Ave, Los Angeles, CA 90004-2115Physician Assistant2026-04-20
Cong-Bao Phan 1441 N Beckley Ave, Dallas, TX 75203-1201Student in an Organized Health Care Education/Training Program2026-04-02
Hong Phan 20900 Corsair Blvd, Hayward, CA 94545-1002Behavior Technician2026-04-27
Anh Phan 101 Cooper St, Santa Cruz, CA 95060-4526Behavior Technician2026-05-21
Sandy Phan 3400 Spruce St, Philadelphia, PA 19104-4238Acute Care Nurse Practitioner2026-04-02
Vivian Phan 1507 Springfield Pike, Cincinnati, OH 45215-1437Physical Therapist2026-04-23
Alicia Phan 4001 W Mcnichols Rd, Detroit, MI 48221-3038Registered Nurse2026-04-22
Angel Phan 263 Farmington Ave # Lg065, Farmington, CT 06030-1930Student in an Organized Health Care Education/Training Program2026-04-01
Tuyen Phan 1862 Lenore Dr, Tacoma, WA 98406-1920Acute Care Nurse Practitioner2026-06-04

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.