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DR. BAO LONG PHAN M.D.
NPI 1083787048
Plastic Surgery in Richardson, TX

Active since November 16, 2006
330 MUNICIPAL DR, SUITE 104, RICHARDSON, TX 75080(972) 671-6398(972) 235-6419 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bao Long Phan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BAO LONG PHAN M.D. (NPI 1083787048) is an individual plastic surgery provider in Richardson, Texas, licensed in Texas (L4198) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1083787048
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. BAO LONG PHANCredential: M.D.
Location Address330 MUNICIPAL DR, SUITE 104Richardson, TX 75080-3651
Mailing Address330 Municipal Dr, Suite 104Richardson, TX 75080-3651 · (972) 671-6398 · Fax (972) 235-6419
Phone(972) 671-6398
Fax(972) 235-6419
Sole ProprietorYes
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083787048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in TX · L4198✔ Licensed in HI · 13456✔ Licensed in CA · A61602
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
330 MUNICIPAL DR, Richardson, TX 75080
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Other Identifiers 2

Medicare UPINH75255
Medicare ID-Type Unspecified8A1690

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY SCOTT LIDE D.D.S.
Dentist (General Practice)
330 MUNICIPAL DR, STE 100
RICHARDSON, TX 75080
Dallas County (972) 479-0477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bao Phan's NPI number?

The NPI number for Bao Phan is 1083787048. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Bao Phan located?

Bao Phan practices at 330 Municipal Dr Suite 104, Richardson, TX 75080. The listed phone number is (972) 671-6398.

What is Bao Phan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

What insurance does Bao Phan accept?

Health plans from HMSA list Bao Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bao Phan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.