Organization
TONY A PHAM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY AI PHAM MD (CEO)
(832) 341-3111
Entity
Organization
Contact information
Practice address
1315 ST JOSEPH PKWY STE 1307, HOUSTON, TX 77002-8236
(713) 376-3459
(713) 655-0506
Mailing address
1315 ST JOSEPH PKWY STE 1307, HOUSTON, TX 77002-8236
(713) 376-3459
(713) 655-0506
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M5883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173990604
—
TX
Enumeration date
08/03/2017
Last updated
07/21/2022
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