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NPI Code Detail

MEDICARE: HIEN NGOC PHAM D. D. S

MEDICARE: HIEN NGOC PHAM D. D. S
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
11223G0001XGeneral Practice Dentistry21900TX

General Provider Information

NPI Number : 1447309349
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIEN NGOC PHAM D. D. S
Provider Business Mailing Address
First Line : 8324 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1603
Country : US
Telephone Number : 713-772-3499
Fax Number : 713-772-3959
Provider Business Practice Location Address
First Line : 8324 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1603
Country : US
Telephone Number : 713-772-3499
Fax Number : 713-772-3959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 07/08/2007

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Directions to “ HIEN NGOC PHAM D. D. S” Practice Location

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