Ryan Pham, DO | |
621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 | |
(817) 766-7421 | |
(817) 447-8100 |
Full Name | Ryan Pham |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 14 Years |
Location | 621 Sw Johnson Ave, Burleson, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407173230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | P1128 (Texas) | Secondary |
207N00000X | Dermatology | P1128 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prestige Dermatology Pllc | 2365752813 | 4 |
Prestige Dermatology Of Midlothian | 3577984251 | 2 |
Prestige Dermatology Of Alliance Pllc | 4284930959 | 4 |
Whhwc Llc | 6002152188 | 2 |
Center For Dermatology | 7214288489 | 3 |
Entity Name | Prestige Dermatology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962878843 PECOS PAC ID: 2365752813 Enrollment ID: O20151112001450 |
Entity Name | Prestige Dermatology Of Alliance Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427415314 PECOS PAC ID: 4284930959 Enrollment ID: O20160307000266 |
Entity Name | Center For Dermatology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164919502 PECOS PAC ID: 7214288489 Enrollment ID: O20180927000315 |
Entity Name | Whhwc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245744580 PECOS PAC ID: 6002152188 Enrollment ID: O20190110000767 |
Entity Name | Prestige Dermatology Of Midlothian |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912549833 PECOS PAC ID: 3577984251 Enrollment ID: O20200604002011 |
Entity Name | Derm On Demand Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780234237 PECOS PAC ID: 2567814585 Enrollment ID: O20240116000886 |
Mailing Address | Practice Location Address |
---|---|
Ryan Pham, DO 621 Sw Johnson Ave, Burleson, TX 76028-5833 Ph: (817) 766-7421 | Ryan Pham, DO 621 Sw Johnson Ave, Suite C, Burleson, TX 76028-5833 Ph: (817) 766-7421 |
Dr. Mohammed Basem Chaker, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12001 South Fwy, Suite 205, Burleson, TX 76028 Phone: 817-568-0500 Fax: 817-568-0501 |