Fortsmith Pham, OD | |
5307 Colleyville Blvd Ste 100, Colleyville, TX 76034-5832 | |
(817) 485-3300 | |
Not Available |
Full Name | Fortsmith Pham |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 22 Years |
Location | 5307 Colleyville Blvd Ste 100, Colleyville, 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 |
---|---|---|---|
1285712612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6244TG (Texas) | Primary |
Provider Name | Colleyville Eye Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063546414 PECOS PAC ID: 5294817185 Enrollment ID: O20080131000091 |
Mailing Address | Practice Location Address |
---|---|
Fortsmith Pham, OD 5307 Colleyville Blvd Ste 100, Colleyville, TX 76034-5832 Ph: () - | Fortsmith Pham, OD 5307 Colleyville Blvd Ste 100, Colleyville, TX 76034-5832 Ph: (817) 485-3300 |
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