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NPI Code Detail

MEDICARE: CUONG V PHAM MD

MEDICARE: CUONG V PHAM MD
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
1207Q00000XFamily Medicine PhysicianM0864TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28S6146OTHERTXBCBS

General Provider Information

NPI Number : 1780619684
Entity Type Code : Individual
Provider Name (Legal Business Name) : CUONG V PHAM MD
Provider Business Mailing Address
First Line : 8901 BOONE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77099-1659
Country : US
Telephone Number : 281-454-0500
Fax Number : 281-454-0516
Provider Business Practice Location Address
First Line : 8901 BOONE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77099-1659
Country : US
Telephone Number : 281-454-0500
Fax Number : 281-454-0516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 02/10/2023

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Directions to “ CUONG V PHAM MD” Practice Location

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