| Tony A Pham Md Pa | |
|
1315 St Joseph Pkwy Ste 1307 Houston TX 77002-8236 | |
| (713) 376-3459 | |
| (713) 655-0506 |
| Full Name | Tony A Pham Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1315 St Joseph Pkwy Ste 1307, Houston, Texas |
| Authorized Official Name and Position | Tony Ai Pham (CEO) |
| Authorized Official Contact | 8323413111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony A Pham Md Pa 1315 St Joseph Pkwy Ste 1307 Houston TX 77002-8236 Ph: (713) 376-3459 | Tony A Pham Md Pa 1315 St Joseph Pkwy Ste 1307 Houston TX 77002-8236 Ph: (713) 376-3459 |
| NPI Number | 1245754902 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245754902 | NPI | - | NPPES |
| 173990604 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M5883 (Texas) | Primary |
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