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NPI Code Detail

MEDICARE: MINH-KHUYEN PHAM APRN

MEDICARE: MINH-KHUYEN PHAM APRN
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
1363LF0000XFamily Nurse PractitionerAP131708TX

General Provider Information

NPI Number : 1740734326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINH-KHUYEN PHAM APRN
Provider Business Mailing Address
First Line : 8200 MATLOCK RD STE 100
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-4805
Country : US
Telephone Number : 817-891-4105
Fax Number :
Provider Business Practice Location Address
First Line : 8200 MATLOCK RD STE 100
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-4805
Country : US
Telephone Number : 817-473-7197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2016
Last Update Date : 10/02/2025

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Directions to “ MINH-KHUYEN PHAM APRN” Practice Location

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