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Organization
RICHARD PHAM MD PA
Active
Organization
RICHARD PHAM MD PA
Active
Other names
Family Health & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D PHAM MD (OWNER)
(409) 381-5750
Entity
Organization
Contact information
Practice address
492 SPRINGHILL ST, SUITE A, JASPER, TX 75951-4922
(409) 381-5750
(409) 384-2018
Mailing address
492 SPRINGHILL ST, SUITE A, JASPER, TX 75951-4922
(409) 381-5750
(409) 384-2018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187770601
—
TX
Enumeration date
08/10/2007
Last updated
06/23/2016
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