Doctor Name: | MRS. LUUPHUONG THI PHAM |
NPI Number: | 1952498651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | G0893 |
Business Practice Address: | 1000 Farm Market Road 300 Levelland, TX - 793366235 |
Business Phone Number: | 8068947842 |
Business Fax Number: | 8068943378 |
Mailing Address: | 1000 Farm Market Road 300, LEVELLAND |
State: | TX |
Postal Code: | 793366235 |
Phone Number: | 8068947842 |
Fax Number: | 8068943378 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 01/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G0893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |