Healthcare Provider Details

I. General information

NPI: 1275453573
Provider Name (Legal Business Name): CINDY PHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 CROSSROADS BLVD
CARY NC
27518-6896
US

IV. Provider business mailing address

5513 PETTY ST UNIT A
HOUSTON TX
77007-3847
US

V. Phone/Fax

Practice location:
  • Phone: 919-388-9595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5979
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: