MEDICARE: DR. THUHA NGOC PHAM M.D.

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	207R00000X	Internal Medicine Physician	P8718	TX
2	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	P8718	TX

General Provider Information

NPI Number	:	1598908410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THUHA NGOC PHAM M.D.

Provider Business Mailing Address
First Line	:	2008 E HEBRON PKWY STE 114
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-1601
Country	:	US
Telephone Number	:	469-431-0544
Fax Number	:	866-512-8083

Provider Business Practice Location Address
First Line	:	2008 E HEBRON PKWY STE 114
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-1601
Country	:	US
Telephone Number	:	469-431-0544
Fax Number	:	866-512-8083

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

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	02/09/2026

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