Organization
PHAM & LUCAS ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEP T PHAM DDS (OWNER)
(281) 741-7400
Entity
Organization
Contact information
Practice address
8240 ANTOINE DR, 206, HOUSTON, TX 77088-2534
(281) 741-7400
(281) 741-7406
Mailing address
PO BOX 38602, HOUSTON, TX 77238-8602
(281) 741-7400
(281) 741-7406
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098170-01
—
TX
05
—
0908501-01
—
TX
Enumeration date
01/15/2009
Last updated
01/15/2009
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