| Pham Medical Clinic Pa | |
|
12545 Briar Forest Dr Ste A Houston TX 77077-2900 | |
| (281) 531-5293 | |
| (281) 759-9175 |
| Full Name | Pham Medical Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 12545 Briar Forest Dr Ste A, Houston, Texas |
| Authorized Official Name and Position | Bao Thang N Pham (MEDICAL DOCTOR) |
| Authorized Official Contact | 2815315293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pham Medical Clinic Pa 12545 Briar Forest Dr Ste A Houston TX 77077-2900 Ph: (281) 531-5293 | Pham Medical Clinic Pa 12545 Briar Forest Dr Ste A Houston TX 77077-2900 Ph: (281) 531-5293 |
| NPI Number | 1427209360 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 09/15/2022 |
| Medicare PECOS PAC ID | 4981767357 |
|---|---|
| Medicare Enrollment ID | O20090112000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427209360 | NPI | - | NPPES |
| M1292 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M1292 (Texas) | Primary |
| Provider Name | Bao Thang N Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417098500 PECOS PAC ID: 5890865182 Enrollment ID: I20080529000186 |
| Provider Name | Mythanh Hang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144612631 PECOS PAC ID: 7719298439 Enrollment ID: I20150623000834 |
| Provider Name | Linh Khanh Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023670544 PECOS PAC ID: 7012244866 Enrollment ID: I20190816000416 |
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