Individual
DR. ELAINE H PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2677 WILCREST DR., HOUSTON, TX 77042
(713) 977-1170
(713) 977-3327
Mailing address
2470 GRAY FALLS DR., SUITE 150, HOUSTON, TX 77077
(281) 556-5353
(281) 556-5349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5968TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1849770-01
—
TX
05
—
1849770-02
—
TX
05
—
184977003
—
TX
Enumeration date
11/14/2006
Last updated
05/04/2016
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