Individual
MISS HUONG LAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-0349
(817) 735-2653
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-0349
(817) 735-2653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09366
TX
Other
Enumeration date
09/30/2014
Last updated
05/31/2016
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