Individual
MR. PHONG TUAN DAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3997
(360) 417-7000
(360) 565-9241
Mailing address
1726 LEILANI DR, HOUSTON, TX 77055-1064
(323) 509-8817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP138415
TX
Other
Enumeration date
01/16/2019
Last updated
10/12/2024
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