Healthcare Provider Details

I. General information

NPI: 1083357214
Provider Name (Legal Business Name): ANH THU THI PHAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27800 NORTHWEST FWY STE 4201
CYPRESS TX
77433-5302
US

IV. Provider business mailing address

14023 SOUTHWEST FWY
SUGAR LAND TX
77478-3550
US

V. Phone/Fax

Practice location:
  • Phone: 346-231-4628
  • Fax:
Mailing address:
  • Phone: 281-325-4100
  • Fax: 281-325-4292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberV5325
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberV5325
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: