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Individual
DR. VICTORIA V. GLICKMAN-PHAM
Active
Individual
DR. VICTORIA V. GLICKMAN-PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7552TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290408801
—
TX
05
—
290408802
—
TX
01
—
7552TG
OPTOMETRY LICENSE
TX
Enumeration date
09/07/2010
Last updated
04/07/2023
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