Individual
MS. XUAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3900 AIRLINE DR, METAIRIE, LA 70001-5704
(504) 831-3662
(504) 831-8272
Mailing address
PO BOX 1673, METAIRIE, LA 70004-1673
(504) 831-3662
(504) 831-8272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1624-657T
LA
152W00000X
Optometrist
7758T
TX
Other
Enumeration date
08/24/2011
Last updated
07/18/2016
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