# CONNIE PHAM, M.D.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659558195
- **Authorized official:** DR. CONNIE L. PHAM M.D. (DOCTOR/OWNER)
- **Authorized official phone:** 51288635678

## Contact information

- **Practice address:** 2118 SCENIC DR, GEORGETOWN, TX 78626-7728
- **Practice address phone:** (512) 863-5678
- **Mailing address:** 2118 SCENIC DR, GEORGETOWN, TX 78626-7728
- **Mailing address phone:** (512) 863-5678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | H8321 | TX | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 01/28/2008