Organization
ODR PEDIATRIC UROLOGY INSTITUTE PLLC
Active
Parent organization
ODR PEDIATRIC UROLOGY INSTIUTE
Other names
CRESCENT UROLOGY INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODR PEDIATRIC UROLOGY INSTIUTE
Authorized official
DUNG Q PHAM MD (OWNER)
(713) 366-7831
Entity
Organization
Contact information
Practice address
1200 BINZ ST STE 690, HOUSTON, TX 77004-6943
(713) 366-7931
(713) 482-5815
Mailing address
1200 BINZ ST STE 690, HOUSTON, TX 77004-6943
(713) 366-7931
(713) 482-5815
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
—
—
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
04/11/2022
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