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Organization
CRESCENT MEDICAL INSTITUTE PLLC
Active
Organization
CRESCENT MEDICAL INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUNG Q PHAM MD (OWNER)
(346) 339-5949
Entity
Organization
Contact information
Practice address
1200 BINZ ST STE 690, HOUSTON, TX 77004-6943
(713) 366-7831
(713) 482-5815
Mailing address
6156 RICHMOND AVE, HOUSTON, TX 77057-6210
(713) 366-7831
(713) 482-5815
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
2088P0231X
Pediatric Urology Physician
—
NULL
2088P0231X
Pediatric Urology Physician
—
—
Other
Enumeration date
02/10/2020
Last updated
04/11/2022
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