Individual
DR. LINDA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, SUITE C239, DALLAS, TX 75230-2571
(972) 566-4868
(972) 566-4867
Mailing address
4429 OVERTON TERRACE CT, FORT WORTH, TX 76109-2518
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
N5942
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
N5942
TX
Other
Enumeration date
04/17/2009
Last updated
06/16/2016
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