NPI age
19 years
Enumerated 2006-11-16
● Active
Type 1 · Individual
DR. Bao Long Phan, M.D.
Phan is 1 of 3 plastic surgery providers in Richardson and 1 of 618 in Texas.
Primary specialty
Plastic Surgery
Plus 2 subspecialties
Licensed in
TX, HI, CA
3 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 618 active plastic surgery providers in Texas.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
3 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
330 Municipal Dr, Suite 104
Richardson, TX 750803651
Mailing address
330 Municipal Dr, Suite 104
Richardson, TX 750803651
Specialties
-
Plastic Surgery PrimaryA 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...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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