# ESPIRITUS SPINE & PAIN REHAB PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053581686
- **Authorized official:** DR. ANTHONY TAM PHAM D.O. (PRESIDENT/OWNER)
- **Authorized official phone:** (281) 818-5333

## Contact information

- **Practice address:** 20303 KERMIER RD, WALLER, TX 77484-8743
- **Practice address phone:** (281) 818-5333
- **Mailing address:** 20303 KERMIER RD, WALLER, TX 77484-8743
- **Mailing address phone:** (281) 818-5333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 04/07/2008