Organization
XUAN T. PHAM, O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XUAN PHAM O.D. (OWNER)
(504) 831-3662
Entity
Organization
Contact information
Practice address
3900 AIRLINE DR, METAIRIE, LA 70001-5704
(504) 831-3662
(504) 831-8272
Mailing address
PO BOX 1673, METAIRIE, LA 70004-1673
(504) 831-3662
(504) 831-8272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1624-657T
LA
Other
Enumeration date
10/31/2011
Last updated
03/23/2017
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