Individual
DR. MICHAEL D. PHAM
Active
Individual
DR. MICHAEL D. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, ANP, ONP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
669919
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
669919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166214001
—
TX
Enumeration date
10/11/2006
Last updated
09/05/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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