Individual
DR. HUY QUANG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K5180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038645001
—
TX
05
—
038645002
—
TX
01
—
050059384
RAILROAD - MEDCIARE
TX
01
—
1589446
LA - MEDICAID
LA
01
—
8014J9
OUT HARRIS - MEDICARE
TX
01
—
81311K
TX-BLUE SHIELD
—
01
—
8AW231
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/30/2007
Last updated
05/05/2020
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