DR. BAO LAN DUC PHAM (NPI# 1326357856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326357856 |
| Entity Type | Individual |
| Full Name | DR. BAO LAN DUC PHAM |
| Credential | M.D. |
| Practice Address |
712 N Washington Ave Suite 101 Dallas TX 75246-1619 |
| Practice Telephone | 2148268822 |
| Mailing Telephone | 2148268822 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2016-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
P6244 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
712 N WASHINGTON AVE SUITE 101 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013828 | Victor J Ramon | Anesthesiology | 712 N Washington Ave, Ste 404, Dallas, TX 75246-1619 | 2005-06-17 |
| 1093290454 | Melanie Pesek | Speech-Language Pathologist | 712 N Washington Ave, Dallas, TX 75246-1619 | 2018-10-01 |
| 1013462787 | Legacy Womens Health Pllc | Obstetrics & Gynecology | 712 N Washington Ave, Suite 250, Dallas, TX 75246-1619 | 2016-08-23 |
| 1124364450 | Jeffrey V Jones Dds | Dentist | 712 N Washington Ave, Suite 400, Dallas, TX 75246-1619 | 2012-12-13 |
| 1508125014 | David Holland | Radiology | 712 N Washington Ave, Dallas, TX 75246 | 2012-05-04 |
| 1083985436 | Lisa Marie Arnold | Nurse Practitioner | 712 N Washington Ave, Suite 415, Dallas, TX 75246-1619 | 2012-01-17 |
| 1720380009 | V.l.y Neuropsych Group P.a. | Psychiatry & Neurology | 712 N Washington Ave, Suite # 411, Dallas, TX 75246-1619 | 2010-11-19 |
| 1225340417 | Srilatha Kothandaraman | Internal Medicine | 712 N Washington Ave, Suite 300, Dallas, TX 75246-1619 | 2010-07-05 |
| 1467629113 | Cathryn Johnson Shaw | Radiology | 712 N Washington Ave, Suite 101, Dallas, TX 75246-1619 | 2008-05-13 |
| 1851565717 | Pain Management Center of Dallas | Specialist | 712 N Washington Ave, Ste 404, Dallas, TX 75246-1619 | 2008-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326150376 | John Thomas Knight | Radiology | 5930 Royal Lane, #221, Dallas, TX 75230-3849 | 2006-08-31 |
| 1538118005 | Mitchell Albert Aboussie Jr. | Radiology | 40 Downs Lake Cir, Dallas, TX 75230-1900 | 2006-05-10 |
| 1811305311 | Dallas Mri Center, L.L.C. | Radiology | 7920 Belt Line Rd, Suite 120, Dallas, TX 75254-8145 | 2014-07-28 |
| 1720368251 | Radiology Associates of Tarrant County Pa | Radiology | 7515 Greenville Ave, Suite200, Dallas, TX 75231-3831 | 2011-08-29 |
| 1730467440 | Radiology Associates of Tarrant County Pa | Radiology | 17980 Dallas Parkway, Ste 200, Dallas, TX 75287 | 2011-07-29 |
| 1538203674 | Raymond Mc Hsu | Radiology | 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 | 2007-02-19 |
| 1851438311 | Anthony Forrest Powell | Radiology | 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 | 2007-01-31 |
| 1447344809 | Vidisha Ghole | Radiology | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2006-10-02 |
| 1568568301 | Neil M Rofsky | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2006-09-16 |
| 1730291758 | Francisco Garcia-morales | Radiology | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2006-08-31 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.