Organization
CONNIE PHAM, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE L. PHAM M.D. (DOCTOR/OWNER)
51288635678
Entity
Organization
Contact information
Practice address
2118 SCENIC DR, GEORGETOWN, TX 78626-7728
(512) 863-5678
Mailing address
2118 SCENIC DR, GEORGETOWN, TX 78626-7728
(512) 863-5678
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
H8321
TX
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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