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Organization
PREMIER PROVIDER HEALTH PA
Active
Organization
PREMIER PROVIDER HEALTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAN NGOC PHAM - HULEN (MD PA)
(214) 274-1507
Entity
Organization
Contact information
Practice address
9301 N CENTRAL EXPY STE 340, DALLAS, TX 75231-0804
(214) 466-2828
(214) 382-9798
Mailing address
PO BOX 3409, PFLUGERVILLE, TX 78691-3409
(513) 252-7792
(513) 904-5908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M0223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021NB
BCBS
TX
01
—
DG0245
RR MEDICARE
TX
Enumeration date
01/15/2007
Last updated
07/06/2022
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