Individual
MRS. LUUPHUONG THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 FARM MARKET ROAD 300, LEVELLAND, TX 79336-6235
(806) 894-7842
(806) 894-3378
Mailing address
1000 FARM MARKET ROAD 300, LEVELLAND, TX 79336-6235
(806) 894-7842
(806) 894-3378
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G0893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121513902
—
TX
Enumeration date
10/06/2006
Last updated
01/06/2010
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