Individual
ERICA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9090
(214) 648-1701
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9090
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16389
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2022
Last updated
05/15/2023
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