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Organization

KIM PHAM CO

Active
Other names
Select Vision Care
Organization subpart
No

Provider details

NPI number
Authorized official
KIM PHAM OD (OWNER)
(817) 793-2959
Entity
Organization

Contact information

Practice address
1740 HIGHWAY 157 N, MANSFIELD, TX 76063-3921
(682) 518-8018
(682) 518-8017
Mailing address
PO BOX 2271, MANSFIELD, TX 76063-0047
(817) 793-2959
(682) 518-8017

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8070T
TX

Other

Enumeration date
09/11/2013
Last updated
02/21/2024
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