# PHYSIATRY OF PLANO, PLLC

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

## Provider details

- **NPI number:** 1831966787
- **Authorized official:** HIEU MITCHELL PHAM MD (OWNER / PHYSICIAN)
- **Authorized official phone:** (469) 939-0372

## Contact information

- **Practice address:** 2800 W 15TH ST, PLANO, TX 75075-7526
- **Practice address phone:** (972) 612-9000
- **Mailing address:** PO BOX 863898, PLANO, TX 75086-3898
- **Mailing address phone:** (469) 939-0372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2023
- **Last updated:** 05/30/2025
