Individual
LISA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8080 N STADIUM DR, HOUSTON, TX 77054-1829
(832) 822-3400
Mailing address
8080 N STADIUM DR, HOUSTON, TX 77054-1829
(832) 822-3400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P2339
TX
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
P2339
TX
Other
Enumeration date
04/17/2012
Last updated
10/31/2018
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