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KELLY PHAN MD
NPI 1295266823
Pediatrics in Houston, TX

Active since March 24, 2017
12850 MEMORIAL DR STE 210, HOUSTON, TX 77024(832) 827-4000 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Mar 24, 2017 (2 updates tracked since 2017).

About Kelly Phan Md NPPES

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

KELLY PHAN MD (NPI 1295266823) is an individual pediatrics provider in Houston, Texas, licensed in Texas (S4545) and active in the NPI registry since March 2017. She maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1295266823
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLY PHANCredential: MD
Location Address12850 MEMORIAL DR STE 210Houston, TX 77024-4973
Mailing Address12850 Memorial Dr Ste 210Houston, TX 77024-4973 · (832) 827-4000
Phone(832) 827-4000
Sole ProprietorNo
Enumeration DateMarch 24, 2017
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1295266823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · S4545
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12850 MEMORIAL DR STE 210, Houston, TX 77024
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Secondary Practice Location 1

Location 11 Baylor Plz, BCM 320Houston, TX 77030-3411 · Phone (832) 824-1170

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 6

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

JESSIE JIEXI ZHAO MD
Pediatrics
12850 MEMORIAL DR STE 210
HOUSTON, TX 77024
Harris County (832) 827-4000
STARLIGHT PEDIATRIC URGENT CARE
Clinic/Center (Urgent Care)
12850 MEMORIAL DR STE 210
HOUSTON, TX 77024
Harris County (214) 629-5300
ASHLEY NICOLE CARRANZA APRN, FNP-C
Nurse Practitioner (Family)
12850 MEMORIAL DR STE 210
HOUSTON, TX 77024
Harris County (832) 827-4000
ERIN KALIES
Nurse Practitioner (Family)
12850 MEMORIAL DR STE 210
HOUSTON, TX 77024
Harris County (832) 827-4000
ALYA ABUHANTESH MD
Pediatrics
12850 MEMORIAL DR STE 210
HOUSTON, TX 77024
Harris County (832) 827-4000
KIMECO WILLIAMS FNP
Nurse Practitioner (Family)
12850 MEMORIAL DR STE 210
HOUSTON, TX 77024
Harris County (832) 827-4000

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 Kelly Phan's NPI number?

The NPI number for Kelly Phan is 1295266823. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Kelly Phan located?

Kelly Phan practices at 12850 Memorial Dr Ste 210, Houston, TX 77024. The listed phone number is (832) 827-4000.

What is Kelly Phan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Kelly Phan accept?

Health plans from Moda Health Plan, Inc. list Kelly 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 Kelly Phan was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.