Individual
ELISABETH ANH PHAM V
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP114902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581417
NURSING LICENSE
TX
Enumeration date
05/10/2006
Last updated
10/11/2019
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