# DIOMS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIOMS, PLLC
- **Other names:** Expedition Oral Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508375965
- **Legal business name:** DIOMS, PLLC
- **Authorized official:** DR. MAU K PHAM DDS, MD (OWNER)
- **Authorized official phone:** (817) 945-2971

## Contact information

- **Practice address:** 9676 BARTLETT CIR STE 950, FORT WORTH, TX 76108-4469
- **Practice address phone:** (817) 945-2971
- **Practice address fax:** (817) 841-1074
- **Mailing address:** 9676 BARTLETT CIR STE 950, FORT WORTH, TX 76108-4469
- **Mailing address phone:** (817) 945-2971
- **Mailing address fax:** (817) 841-1074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 25803 | TX | Yes |

## Other

- **Enumeration date:** 09/28/2017
- **Last updated:** 07/21/2022