CAMERON PHAN
NPI 1912648874
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Cameron Phan's NPI number?

The NPI number for Cameron Phan is 1912648874. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Cameron Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Cameron Phan was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 05, 2022

2900 STADIUM DR, FORT WORTH, TX 76109(817) 257-3764 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cameron Phan NPPES

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

CAMERON PHAN (NPI 1912648874) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1912648874

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCAMERON PHAN

Location Address2900 STADIUM DRFort Worth, TX 76109-1380

Mailing Address2635 Prospect Ridge Dr Apt 9214Fort Worth, TX 76110-2574 · (703) 965-7603

Phone(817) 257-3764

Sole ProprietorNo

Enumeration DateApril 5, 2022

NPPES CertifiedApril 5, 2022

✔ NPI 1912648874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

2900 STADIUM DR, Fort Worth, TX 76109

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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 Cameron Phan's NPI number?

The NPI number for Cameron Phan is 1912648874. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Cameron Phan located?

Cameron Phan practices at 2900 Stadium Dr, Fort Worth, TX 76109. The listed phone number is (817) 257-3764.

What is Cameron Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Cameron Phan was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.