Organization
PHYSIATRY OF PLANO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIEU MITCHELL PHAM MD (OWNER / PHYSICIAN)
(469) 939-0372
Entity
Organization
Contact information
Practice address
2800 W 15TH ST, PLANO, TX 75075-7526
(972) 612-9000
Mailing address
PO BOX 863898, PLANO, TX 75086-3898
(469) 939-0372
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6M1153
MEDICARE
TX
Enumeration date
12/11/2023
Last updated
05/30/2025
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