DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LONG PHAM

MEDICARE: LONG PHAM
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1942143938
Entity Type Code : Individual
Provider Name (Legal Business Name) : LONG PHAM
Provider Business Mailing Address
First Line : 10114 BRIDGEGATE LN
Second Line :
City : DALLAS
State : TX
Zip : 75243-5018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 HOSPITAL PKWY
Second Line :
City : BEDFORD
State : TX
Zip : 76022-6913
Country : US
Telephone Number : 817-848-5654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

Similar Medicare Providers

1699618793 — ANDREW JAMES EBERWEIN DO
Practice Location Address:
1600 HOSPITAL PKWY
BEDFORD, TX
76022-6913
Practice Phone: 817-848-5654
Practice Fax:
1801739867 — COLTON D GRINDAL DO
Practice Location Address:
1600 HOSPITAL PKWY
BEDFORD, TX
76022-6913
Practice Phone: 817-848-5654
Practice Fax:
1144163551 — HIEU CHI NGUYEN
Practice Location Address:
1600 HOSPITAL PKWY
BEDFORD, TX
76022-6913
Practice Phone: 817-848-4000
Practice Fax:
1558357632 — KELLI YVETTE THURMAN N.P.
Practice Location Address:
1600 HOSPITAL PKWY
BEDFORD, TX
76022-6913
Practice Phone: 817-848-2708
Practice Fax: 817-848-4579
1831175777 — DR. NIKKI LONG M.D.
Practice Location Address:
1600 HOSPITAL PKWY
BEDFORD, TX
76022-6913
Practice Phone: 817-685-4000
Practice Fax:
1710964168 — DR. SHAILESH MORI M.D.
Practice Location Address:
1600 HOSPITAL PKWY
BEDFORD, TX
76022-6913
Practice Phone: 817-355-7800
Practice Fax: 817-355-7805

Directions to “ LONG PHAM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.