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Individual
PHONG PHAM
Active
Individual
PHONG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8050T
TX
Other
Enumeration date
07/24/2012
Last updated
10/04/2019
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