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Individual

DR. TONY AI PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1315 ST JOSEPH PKWY 1307, HOUSTON, TX 77002-8236
(713) 376-3459
(832) 369-7665
Mailing address
2247 GOLDSMITH ST, HOUSTON, TX 77030-1118
(713) 376-3459
(832) 369-7665

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M5883
TX
2084P0802X
Addiction Psychiatry Physician
M5883
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173990601
TX
05
173990604
TX
Enumeration date
10/26/2007
Last updated
09/27/2024
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