Healthcare Provider Details

I. General information

NPI: 1366090938
Provider Name (Legal Business Name): QUYNH GIAO N PHAM APRN- FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 WRIGHT ST
ARLINGTON TX
76012-4731
US

IV. Provider business mailing address

925 WRIGHT ST
ARLINGTON TX
76012-4731
US

V. Phone/Fax

Practice location:
  • Phone: 818-801-5704
  • Fax:
Mailing address:
  • Phone: 817-801-5704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP142427
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: