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Individual

MRS. NHI LAN PHAM

Active
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Individual

MRS. NHI LAN PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L939475
MI
207R00000X
Internal Medicine Physician
Primary
M8250
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1366638538
SCOTT & WHITE HEALTH PLAN
TX
05
190584601
TX
01
8AN223
BC/BS
01
P00471688
RR MEDICARE
TX
Enumeration date
09/20/2007
Last updated
07/22/2010
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