Individual
DR. THERESA XUAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
PO BOX 1616, EVANSVILLE, IN 47706-0018
(844) 825-9300
(541) 758-3713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1093212003
ID
2085R0202X
Diagnostic Radiology Physician
11414332-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
2023-00041
NC
Other
Enumeration date
04/07/2018
Last updated
09/18/2024
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