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NPI Code Detail

MEDICARE: MRS. MARIA LISING-PHAM I MS, ATP

MEDICARE:  MRS. MARIA  LISING-PHAM I MS, ATP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225CA2400XAssistive Technology Practitioner Rehabilitation CounselorATP85924TX

General Provider Information

NPI Number : 1275904757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA LISING-PHAM I MS, ATP
Provider Business Mailing Address
First Line : 10518 KIPP WAY DR
Second Line : UNIT D
City : HOUSTON
State : TX
Zip : 77099-2400
Country : US
Telephone Number : 713-270-4936
Fax Number : 713-270-0343
Provider Business Practice Location Address
First Line : 10518 KIPP WAY DR
Second Line : UNIT D
City : HOUSTON
State : TX
Zip : 77099-2400
Country : US
Telephone Number : 713-270-4936
Fax Number : 713-270-0343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2015
Last Update Date : 10/09/2015

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Directions to “ MRS. MARIA LISING-PHAM I MS, ATP” Practice Location

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