Individual
KY D PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(512) 893-2835
Mailing address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(512) 893-2835
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101277584
VA
208D00000X
General Practice Physician
01091111A
IN
Other
Enumeration date
04/10/2012
Last updated
11/25/2024
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