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Organization

CRESCENT MEDICAL INSTITUTE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUNG Q PHAM MD (OWNER)
(346) 339-5949
Entity
Organization

Contact information

Practice address
1200 BINZ ST STE 690, HOUSTON, TX 77004-6943
(713) 366-7831
(713) 482-5815
Mailing address
6156 RICHMOND AVE, HOUSTON, TX 77057-6210
(713) 366-7831
(713) 482-5815

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2088P0231X
Pediatric Urology Physician

Other

Enumeration date
02/10/2020
Last updated
04/11/2022
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