Provider Demographics
NPI:1134258460
Name:PHUAH, ALLAN K (MD)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:K
Last Name:PHUAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PAWPRINT PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2871
Mailing Address - Country:US
Mailing Address - Phone:281-363-1223
Mailing Address - Fax:
Practice Address - Street 1:5555 SAN FELIPE ST
Practice Address - Street 2:SUITE 800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-2701
Practice Address - Country:US
Practice Address - Phone:713-622-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4774207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG77103Medicare UPIN