Individual
DR. KIMNGAN PHAM TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1112 PORT ARTHUR TER, LEESVILLE, LA 71446-4656
(337) 238-5081
Mailing address
1229 PORT ARTHUR TER, LEESVILLE, LA 71446-4257
(713) 409-0442
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207355
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#39
ST JOSEPH HOSTPITAL
NJ
Enumeration date
08/10/2010
Last updated
11/06/2014
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