Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP145745 | TX |
NPI | 1043831902 |
---|---|
Provider Name | Hanh Nguyen Pham |
First Address | Houston, TX 77036-2131 |
Second Address | Houston, TX 77036-2131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2020 |
Last Update Date | 15/10/2021 |