MEDICARE: DR. 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	2085R0001X	Radiation Oncology Physician	Q9004	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1912342908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NGOC PHAM M.D.

Provider Business Mailing Address
First Line	:	1140 BUSINESS CENTER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-2737
Country	:	US
Telephone Number	:	713-800-0660
Fax Number	:	713-827-1380

Provider Business Practice Location Address
First Line	:	10405 KATY FWY STE 150E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1165
Country	:	US
Telephone Number	:	713-722-9660
Fax Number	:	713-722-9664

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

Provider Enumeration Date	:	05/03/2013
Last Update Date	:	02/03/2026

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