Individual
KY-VAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 SOMERSET RD, LEWISVILLE, TX 75067-4422
(214) 493-8200
Mailing address
1520 SOMERSET RD, LEWISVILLE, TX 75067-4422
(214) 493-8200
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
10651
TX
111NR0400X
Rehabilitation Chiropractor
1696
LA
Other
Enumeration date
02/12/2009
Last updated
12/18/2025
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