Individual
HIEU MITCHELL DUC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 W 15TH ST, PLANO, TX 75075-7331
(972) 612-9000
Mailing address
PO BOX 863898, PLANO, TX 75086-3898
(469) 939-0372
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E-15236
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6M1196
MEDICARE
TX
Enumeration date
03/28/2018
Last updated
05/21/2024
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