All Medicaid billing entities listing PHAN, MARY (DOCTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Texas | 2 | $382K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GALENA PARK DENTAL | GALENA PARK, TX | Dentist | $381K |
| 2 | REVEILLE DENTAL | HOUSTON, TX | General Practice Dentistry | $868.80 |