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NPI Code Detail

MEDICARE: DR. CAVATINA LUUGIANG PHAM DO

MEDICARE:  DR. CAVATINA LUUGIANG PHAM  DO
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 PhysicianTX2441TX

General Provider Information

NPI Number : 1821409780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAVATINA LUUGIANG PHAM DO
Provider Business Mailing Address
First Line : 12245 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2518
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12245 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2518
Country : US
Telephone Number : 281-558-6700
Fax Number : 281-558-0103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 10/24/2017

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Directions to “ DR. CAVATINA LUUGIANG PHAM DO” Practice Location

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