NPI age
19 years
Enumerated 2006-07-07
● Active
Type 1 · Individual
Thinh Phu Phan, MD
Phan is 1 of 1 radiology providers in Midland and 1 of 568 in Texas.
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
TX, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 568 active radiology providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
400 Rosalind Redfern Grover Pkwy Ste 100
Midland, TX 797015849
Mailing address
Po Box 911230
Dallas, TX 753911230
Additional practice locations
1 secondary location on file with NPPES.
Location 2
25511 Budde Rd Ste 1201, Belle Building
Spring, TX 773802091
Specialties
-
Radiology PrimaryA radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1590473-01 | GROUP MEDICAID |
| 01 (TX) | 1590648-01 | GROUP MEDICAID |
| 01 (TX) | 1871594424 | GROUP NPI |
| 01 (TX) | 00250T | GROUP MEDICARE PTAN |
| 01 (TX) | 00251T | GROUP MEDICARE PTAN |
| 01 | 1700017449 | GROUP NPI |
| 01 | 1477553477 | GROUP NPI |
| 01 | 1487887667 | GROUP NPI |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.