Individual
DR. KIM THI MY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1740 HIGHWAY 157 N, MANSFIELD, TX 76063-3921
(817) 793-2959
Mailing address
PO BOX 2271, MANSFIELD, TX 76063-0047
(817) 793-2959
(682) 518-8017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
8070
TX
152W00000X
Optometrist
Primary
8070TG
TX
Other
Enumeration date
08/06/2012
Last updated
02/21/2024
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