Individual
KRISTINA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2401 S 31ST ST # MS 22117D, TEMPLE, TX 76508-0001
(254) 724-2585
Mailing address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7168
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
U3323
TX
Other
Enumeration date
03/22/2019
Last updated
06/04/2025
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