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Individual
DAVID T D PHAM
Active
Individual
DAVID T D PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-FNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
922214
TX
207R00000X
Internal Medicine Physician
TL2791
GA
363LF0000X
Family Nurse Practitioner
Primary
1011822
TX
Other
Enumeration date
09/06/2007
Last updated
09/08/2020
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