Individual
ANH TIEN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1007 POTEET JOURDANTON FWY, 120, SAN ANTONIO, TX 78224-1207
(210) 927-7788
(210) 923-6636
Mailing address
9247 INGLETON, SAN ANTONIO, TX 78245-1658
(210) 927-7788
(210) 923-6636
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
6895
TX
111NR0400X
Rehabilitation Chiropractor
CH 7955
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AB590
BCB S
TX
Enumeration date
12/22/2006
Last updated
06/25/2008
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