Individual
DR. KRYSTINA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6185 RETAIL RD STE 210, DALLAS, TX 75231-7807
(469) 232-2010
(469) 232-2010
Mailing address
3613 HUTCH DR, PLANO, TX 75074-8965
(214) 552-4833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6326T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320184001
—
TX
05
—
320184002
—
TX
Enumeration date
08/02/2006
Last updated
03/07/2024
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