Individual
ANNIE LE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
751 MID CITIES BLVD STE A, HURST, TX 76054-2748
(817) 656-2020
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11525TG
TX
Other
Enumeration date
09/18/2025
Last updated
09/25/2025
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