Organization
JASPER HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D PHAM MD (MEDICAL DIRECTOR)
(409) 489-4220
Entity
Organization
Contact information
Practice address
2427 SAM RAYBURN PKWY, BROOKELAND, TX 75931-6408
(409) 489-4220
Mailing address
PO BOX 878, TYLER, TX 75710-0878
(716) 389-3279
(716) 639-1382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
01/29/2026
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