MEDICARE: PHUONG PHAM

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
1	1223G0001X	General Practice Dentistry	20616	TX

General Provider Information

NPI Number	:	1497814800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHUONG PHAM

Provider Business Mailing Address
First Line	:	3701 KIRBY DR
Second Line	:	SUITE 550
City	:	HOUSTON
State	:	TX
Zip	:	77098-3900
Country	:	US
Telephone Number	:	713-729-9898
Fax Number	:

Provider Business Practice Location Address
First Line	:	12341 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-6205
Country	:	US
Telephone Number	:	713-729-9898
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1326068933 — SOUTH MAIN CLINIC, INC
Practice Location Address:

12333 MAIN ST
HOUSTON, TX
77035-6205

Practice Phone: 713-729-7600
Practice Fax: 713-729-7603

1376984583 — DR. ANITA NAZAR ALI O.D.
Practice Location Address:

12343 MAIN ST
HOUSTON, TX
77035-6205

Practice Phone: 713-597-2020
Practice Fax:

1316365273 — OPTICS EYECARE PLLC
Practice Location Address:

12343 MAIN ST
HOUSTON, TX
77035-6205

Practice Phone: 713-597-2020
Practice Fax: 281-990-6841

1275194755 — JUDDIE CORREOS OD
Practice Location Address:

12343 MAIN ST
HOUSTON, TX
77035-6205

Practice Phone: 713-597-2020
Practice Fax:

1710617352 — ELIZABETH SMITH
Practice Location Address:

12341 MAIN ST
HOUSTON, TX
77035-6205

Practice Phone: 713-275-5400
Practice Fax:

1699589838 — MARIANA RENE GUTIERREZ NP
Practice Location Address:

12333 MAIN ST
HOUSTON, TX
77035-6205

Practice Phone: 713-729-7600
Practice Fax:

Directions to “ PHUONG PHAM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.