Individual
HIEU T. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5010 CRENSHAW RD, STE. #130, PASADENA, TX 77505-3047
(281) 991-2211
(281) 991-7700
Mailing address
PO BOX 5607, PASADENA, TX 77508-5607
(281) 991-2211
(281) 991-7700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L3433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046CC
RPK MEDICARE GROUP #
TX
01
—
8K2180
MEDICAL INCOME-KATY
TX
05
—
PENDING
—
TX
Enumeration date
06/30/2006
Last updated
05/11/2010
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