Individual
LAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 RESEARCH ST, AMARILLO, TX 79124-1109
(806) 639-8670
Mailing address
5006 HICKS ST, AMARILLO, TX 79118-1491
(806) 335-6133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2108159
TX
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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