| Pham & Lucas Enterprises, Inc | |
|
8240 Antoine Dr 206 Houston TX 77088-2534 | |
| (281) 741-7400 | |
| (281) 741-7406 |
| Full Name | Pham & Lucas Enterprises, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8240 Antoine Dr, Houston, Texas |
| Authorized Official Name and Position | Diep T Pham (OWNER) |
| Authorized Official Contact | 2817417400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pham & Lucas Enterprises, Inc Po Box 38602 Houston TX 77238-8602 Ph: (281) 741-7400 | Pham & Lucas Enterprises, Inc 8240 Antoine Dr 206 Houston TX 77088-2534 Ph: (281) 741-7400 |
| NPI Number | 1811134620 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811134620 | NPI | - | NPPES |
| 0908501-01 | Medicaid | TX | |
| 0098170-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 17862 (Texas) | Primary |
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