Individual
JANNA NGUYEN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1977 BUTLER BLVD FL 2, HOUSTON, TX 77030-4101
(713) 798-6100
Mailing address
1977 BUTLER BLVD FL 2, HOUSTON, TX 77030-4101
(713) 798-6100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10853
OPTOMETRY LICENSE
TX
Enumeration date
06/22/2023
Last updated
12/26/2024
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