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Organization
TRI PHAM MD LLC
Active
Organization
TRI PHAM MD LLC
Active
Other names
Tri Pham MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRI HUNG PHAM MD (OWNER)
(318) 617-6708
Entity
Organization
Contact information
Practice address
8650 MILLICENT WAY, SHREVEPORT, LA 71115
(318) 642-8128
Mailing address
8703 GLENMORA DR, SHREVEPORT, LA 71106-6234
(318) 617-6708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
08/06/2026
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