| Dr Vien Pham Pllc | |
|
1717 Highway 59 Loop N Ste C Livingston TX 77351-5720 | |
| (936) 327-7147 | |
| (936) 328-5255 |
| Full Name | Dr Vien Pham Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1717 Highway 59 Loop N Ste C, Livingston, Texas |
| Authorized Official Name and Position | Angela Gail Cox (OFFICE MANAGER) |
| Authorized Official Contact | 9363277147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vien Pham Pllc 219 Eastwood Ave Livingston TX 77351-3342 Ph: (936) 327-7147 | Dr Vien Pham Pllc 1717 Highway 59 Loop N Ste C Livingston TX 77351-5720 Ph: (936) 327-7147 |
| NPI Number | 1376195859 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 08/29/2019 |
| Medicare PECOS PAC ID | 9436489226 |
|---|---|
| Medicare Enrollment ID | O20190920001091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376195859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vien T Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043654114 PECOS PAC ID: 6709165046 Enrollment ID: I20161109002137 |
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