Individual
JOANNE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 W BUSINESS 380, SUITE A, DECATUR, TX 76234-3281
(940) 627-7997
(940) 627-7416
Mailing address
1600 W BUSINESS 380, SUITE A, DECATUR, TX 76234-3281
(940) 627-7997
(940) 627-7416
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L8250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669608
—
TX
01
—
8P2330
BCBS
TX
01
—
P00194346
RAILROAD
TX
Enumeration date
04/25/2006
Last updated
06/06/2019
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