Doctor Name: | TRINH L. PHAM |
NPI Number: | 1023359247 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 737988 |
Business Practice Address: | 1850 Lakepointe Dr #400 Lewisville, TX - 750576442 |
Business Phone Number: | 9723160262 |
Business Fax Number: | 9723168762 |
Mailing Address: | Po Box 35629, DALLAS |
State: | TX |
Postal Code: | 752350629 |
Phone Number: | 2144242213 |
Fax Number: | 2142312159 |
NPI Enumeration Date: | 03/13/2013 |
NPI Last Update Date: | 05/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 737988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |