Individual
SON VAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5100
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G69362
CA
207RC0000X
Cardiovascular Disease Physician
P3060
TX
207RI0011X
Interventional Cardiology Physician
G69362
CA
207RI0011X
Interventional Cardiology Physician
Primary
P3060
TX
Other
Enumeration date
11/29/2005
Last updated
08/28/2012
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