Healthcare Provider Details

I. General information

NPI: 1316958713
Provider Name (Legal Business Name): TRAM B PHAM-HILL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 PRESTON RD
PLANO TX
75024-2505
US

IV. Provider business mailing address

PO BOX 1515
DURANT OK
74702-1515
US

V. Phone/Fax

Practice location:
  • Phone: 214-473-8822
  • Fax:
Mailing address:
  • Phone: 580-920-2525
  • Fax: 903-532-6820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number22987
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberN6962
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN6962
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN6962
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberN6962
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: