Individual
JIM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 JUNIPER DR, ARLINGTON, TX 76018-1460
(682) 203-8005
Mailing address
515 JUNIPER DR, ARLINGTON, TX 76018-1460
(682) 203-8005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
Other
Enumeration date
06/07/2023
Last updated
06/26/2023
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