Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | M8918 | TX |
Y | 208600000X | Surgeon | M8918 | TX |
NPI | 1003839754 |
---|---|
Provider Name | Dr. Hien D. Pham |
First Address | Pittsburgh, PA 15251-9556 |
Second Address | Missouri City, TX 77459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 17/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
217378301 | (05) | TX |