Individual
DR. CUONG DUY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2634 S CARRIER PKWY STE 101, GRAND PRAIRIE, TX 75052-5005
(682) 583-9151
Mailing address
2634 S CARRIER PKWY STE 101, GRAND PRAIRIE, TX 75052-5005
(682) 583-9151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10412TG
TX
Other
Enumeration date
08/06/2021
Last updated
08/21/2023
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