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Individual
DR. SANG THANH PHAM
Active
Individual
DR. SANG THANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7610TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386985976
GROUP NPI#
TX
01
—
1679862395
INDIVIDUAL NPI #
TX
Enumeration date
04/04/2011
Last updated
04/19/2021
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