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Organization
PHAM MEDICAL CLINIC PA
Active
Organization
PHAM MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO THANG N PHAM MD (MEDICAL DOCTOR)
(281) 531-5293
Entity
Organization
Contact information
Practice address
12545 BRIAR FOREST DR STE A, HOUSTON, TX 77077-2900
(281) 531-5293
(281) 759-9175
Mailing address
12545 BRIAR FOREST DR STE A, HOUSTON, TX 77077-2900
(281) 531-5293
(281) 759-9175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M1292
MEDICAL LICENSE
TX
Enumeration date
10/09/2008
Last updated
09/15/2022
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