Individual
ANTHONY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4941
(817) 702-1100
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4941
(817) 702-9776
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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