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NPI Code Detail

MEDICARE: DR. NHAT PHAM DDS

MEDICARE: DR. NHAT PHAM DDS
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
1122300000XDentist36627TX

General Provider Information

NPI Number : 1295348837
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NHAT PHAM DDS
Provider Business Mailing Address
First Line : 10152 BEEKMAN PLACE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77043-4314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5900 NORTH FWY STE 105
Second Line :
City : HOUSTON
State : TX
Zip : 77076-4041
Country : US
Telephone Number : 281-771-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2020
Last Update Date : 08/24/2020

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Directions to “ DR. NHAT PHAM DDS” Practice Location

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