Organization
DRCATHYPHAMDCPROFESSIONALCORPORATION
Active
Other names
ATX INJURY REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY PHAM (PROVIDER)
(512) 902-4860
Entity
Organization
Contact information
Practice address
2028 E BEN WHITE BLVD, SUITE 100, AUSTIN, TX 78741-6966
(512) 902-4860
Mailing address
11904 AITNE LN, AUSTIN, TX 78725-1768
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11829
TX
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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