NPI age
16 years
Enumerated 2010-03-25
● Active
Type 1 · Individual
DR. Jack Phan, M.D., PH.D.
Phan is 1 of 9 radiology providers in Houston and 1 of 30 in Texas.
Primary specialty
Radiology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 30 active radiology providers in Texas.
NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-03Enumerated in NPPES
2010
2026
Where they practice
Practice location
1515 Holcombe Blvd
Houston, TX 770304000
Mailing address
Po Box 4439
Houston, TX 772104439
Specialties
-
Radiology PrimaryTherapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
Practice context
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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