Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER H. PHAN DO
NPI 1750183695
General Practice in Jbsa Ft Sam Houston, TX

Active since March 24, 2025
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(210) 292-3410(210) 292-7868 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, Mar 24, 2025 (2 updates tracked since 2025).

About Jennifer H. Phan Do NPPES

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

JENNIFER H. PHAN DO (NPI 1750183695) is an individual general practice provider in Jbsa Ft Sam Houston, Texas, licensed in Idaho (6481932) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1750183695
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameJENNIFER H. PHANCredential: DO
Location Address3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · (210) 292-3410 · Fax (210) 292-7868
Fax(210) 292-7868
Sole ProprietorYes
Enumeration DateMarch 24, 2025
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1750183695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in ID · 6481932
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Jennifer Phan's NPI number?

The NPI number for Jennifer Phan is 1750183695. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Jennifer Phan located?

Jennifer Phan practices at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 292-3410.

What is Jennifer Phan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Phan was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.