Individual
DR. TIMMY MINH-TIEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
601 MEDICAL PKWY STE A, BRENHAM, TX 77833-5430
(979) 836-1111
(979) 836-3600
Mailing address
601 MEDICAL PKWY STE A, BRENHAM, TX 77833-5430
(979) 836-1111
(979) 836-3600
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349578001
—
TX
Enumeration date
06/19/2012
Last updated
03/17/2018
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