Individual
DR. BAO LAN DUC PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
712 N WASHINGTON AVE, SUITE 101, DALLAS, TX 75246-1619
(214) 826-8822
Mailing address
712 N WASHINGTON AVE, SUITE 101, DALLAS, TX 75246-1619
(214) 826-8822
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
P6244
TX
Other
Enumeration date
10/01/2010
Last updated
08/10/2016
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