# DANIEL PHAM MD PC

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

## Provider details

- **NPI number:** 1346589397
- **Authorized official:** DANIEL H PHAM MD (PHYSICIAN/ OWNER)
- **Authorized official phone:** (405) 736-0149

## Contact information

- **Practice address:** 5104 S SOONER RD, OKLAHOMA CITY, OK 73135-5440
- **Practice address phone:** (405) 736-0149
- **Practice address fax:** (405) 737-1346
- **Mailing address:** PO BOX 5934, NORMAN, OK 73070-5934
- **Mailing address phone:** (405) 736-0149
- **Mailing address fax:** (405) 737-1346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 36781 | OK | Yes |

## Other

- **Enumeration date:** 02/12/2013
- **Last updated:** 02/12/2013