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General NPI Number Information
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NPI Number | 1700032745
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Entity Type | Organization
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Legal Business Name | PREMIER PROVIDER HEALTH PA
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 9301 N CENTRAL EXPY STE 340
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City | DALLAS
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State | TX
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Zip | 75231-0804
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Country | US
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Telephone | 214-466-2828
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Fax | 214-382-9798
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Provider Business Mailing Address
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Address Line | 1 CHISHOLM TRAIL RD STE 5200
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City | ROUND ROCK
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State | TX
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Zip | 78681-5090
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Country | US
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Telephone | 512-202-3830
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Fax | 512-354-1106
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAN PHAM HULEN
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Credential | MD
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Telephone | 214-945-7313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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