Individual
THUAN V. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
9100 N MAY AVE, OKLAHOMA CITY, OK 73120-4417
(405) 840-4456
(405) 840-4295
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22476
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00354010
RAILROAD
OK
05
—
200031220A
—
OK
01
—
22476
LICENSE
OK
01
—
30803
OBNDD
OK
Enumeration date
08/30/2006
Last updated
05/20/2014
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