Physician Compare National (NPI:1689647968)

HEALTHCARE PROVIDER: HIEN QUANG PHAM MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689647968
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103970033
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090812000288
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PHAM
	Individual professional last name
Provider First Name	HIEN
	Individual professional first name
Provider Middle Name	Q
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HEALTHTEXAS PROVIDER NETWORK
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1355254210
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	1351
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6750 N MACARTHUR BOULEVARD
	Group Practice or individual's line 1 address
Line 2 Street Address	255 BAYLOR SCOTT AND WHITE MEDICAL AND SURGICAL CLINIC
	Group Practice or individual's line 2 address
City	IRVING
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750392473
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9728171200
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y