Individual
DR. HENRY THANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16659 SOUTHWEST FWY, SUITE 141, SUGAR LAND, TX 77479-2375
(281) 494-8333
(281) 494-8334
Mailing address
16659 SOUTHWEST FWY, SUITE 141, SUGAR LAND, TX 77479-2375
(281) 494-8333
(281) 494-8334
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K2366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025BE
BCBS
TX
05
—
029906701
—
TX
01
—
5508471
AETNA
TX
Enumeration date
08/15/2005
Last updated
08/29/2011
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