Organization
TRI PHAM MD LLC
Active
Other names
Tri Pham MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRI HUNG PHAM MD (OWNER)
(318) 617-6708
Entity
Organization
Contact information
Practice address
8650 MILLICENT WAY, SHREVEPORT, LA 71115
(318) 642-8128
Mailing address
8703 GLENMORA DR, SHREVEPORT, LA 71106-6234
(318) 617-6708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
01/12/2026
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