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NPI Code Detail

MEDICARE: OANA CRISTINA PHAM NP

MEDICARE: OANA CRISTINA PHAM NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner1069495TX

General Provider Information

NPI Number : 1710631221
Entity Type Code : Individual
Provider Name (Legal Business Name) : OANA CRISTINA PHAM NP
Provider Business Mailing Address
First Line : 207 RIDGE VIEW LN
Second Line :
City : TROPHY CLUB
State : TX
Zip : 76262-5618
Country : US
Telephone Number : 917-697-5943
Fax Number :
Provider Business Practice Location Address
First Line : 8501 WADE BLVD STE 1330
Second Line :
City : FRISCO
State : TX
Zip : 75034-0245
Country : US
Telephone Number : 214-618-0859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2022
Last Update Date : 08/18/2022

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Directions to “ OANA CRISTINA PHAM NP” Practice Location

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