Individual
TRUNG H PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10016 S MINGO RD STE A, TULSA, OK 74133-5789
(918) 459-0583
(918) 250-0120
Mailing address
10016 S MINGO RD STE A, TULSA, OK 74133-5789
(918) 459-0583
(918) 250-0120
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3313
OK
207Q00000X
Family Medicine Physician
Primary
3313
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100223040H
—
OK
Enumeration date
02/21/2006
Last updated
10/18/2013
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