Individual
LINH MY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
802 HOPKINS ST, GARLAND WOMEN'S HEALTH CENTER, GARLAND, TX 75040-7379
(214) 266-0780
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
659145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193984501
—
TX
05
—
193984502
—
TX
05
—
193984503
—
TX
05
—
193984504
—
TX
05
—
193984505
—
TX
05
—
193984506
—
TX
05
—
193984507
—
TX
05
—
193984508
—
TX
05
—
193984509
—
TX
05
—
193984510
—
TX
01
—
8Y3497
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/03/2008
Last updated
04/13/2009
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