# CRESCENT MEDICAL INSTITUTE PLLC

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

## Provider details

- **NPI number:** 1063044881
- **Authorized official:** DR. DUNG Q PHAM MD (OWNER)
- **Authorized official phone:** (346) 339-5949

## Contact information

- **Practice address:** 1200 BINZ ST STE 690, HOUSTON, TX 77004-6943
- **Practice address phone:** (713) 366-7831
- **Practice address fax:** (713) 482-5815
- **Mailing address:** 6156 RICHMOND AVE, HOUSTON, TX 77057-6210
- **Mailing address phone:** (713) 366-7831
- **Mailing address fax:** (713) 482-5815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 2088P0231X | Pediatric Urology Physician | — | NULL | — |
| 2088P0231X | Pediatric Urology Physician | — | — | — |

## Other

- **Enumeration date:** 02/10/2020
- **Last updated:** 04/11/2022