DR. QUANG PHAM (NPI# 1376957589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376957589 |
| Entity Type | Individual |
| Full Name | DR. QUANG PHAM |
| Credential | D.O. |
| Practice Address |
1105 W Frank Ave Ste 260 Lufkin TX 75904-3340 |
| Practice Telephone | 9366391740 |
| Mailing Telephone | 9366391740 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
S1223 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Lansdowne Ave, Darby, PA 190231200 | 6102374000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598890337 | Quang Pham | Optometrist | 2926 Pat Booker Rd, Universal City, TX 78148-2732 | 2007-02-22 |
| 1376109421 | Quang Pham | Chore Provider | 2001 S Jones Blvd, Las Vegas, NV 89146-3182 | 2019-05-14 |
| 1821503723 | Quang Benjamin Thai Pham | Pharmacist | 904 S Range Ave, Denham Springs, LA 70726-4802 | 2017-12-13 |
| 1659750628 | Quang Manh Pham | Pharmacist | 19640 Beach Blvd, Huntington Beach, CA 92648-2905 | 2015-05-24 |
| 1326484221 | Quang H. Pham | Internal Medicine | 5 W Main St, Greenville, SC 29611-4215 | 2013-05-17 |
| 1942398342 | Quang Pham | Anesthesiology | 4725 N. Federal Highway, Fort Lauderdale, FL 33308-4603 | 2006-10-11 |
| 1467546382 | Quang V Pham | Internal Medicine | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-10-03 |
| 1932212180 | Quang Duy Pham | Anesthesiology | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2006-08-15 |
| Street Address |
1105 W FRANK AVE STE 260 |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548277882 | David John Bailey | Otolaryngology | 1105 W Frank Ave Ste 260, Lufkin, TX 75904-3340 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326088469 | Brian F Humphreys | Otolaryngology | 121 Gaslight Medical Pkwy, Suite 100, Lufkin, TX 75904-3150 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801594 | Gavin John Le Nobel | Otolaryngology | 14211 Fm 2920 Road, Suite 110, Tomball, TX 77377 | 2020-08-14 |
| 1548886435 | Rana Facial Plastic Surgery Pllc | Otolaryngology | 137 San Marino Dr, Galveston, TX 77550-5715 | 2020-06-17 |
| 1407222474 | Facial Plastic Surgery Institute, Pllc | Otolaryngology | 521 W Southlake Blvd Ste 175, Southlake, TX 76092-6175 | 2015-08-13 |
| 1407273659 | Les Mohan Alloju | Otolaryngology | 4401 Coit Rd Ste 411, Frisco, TX 75035-0520 | 2014-03-26 |
| 1215276787 | Peter Vail Driscoll | Otolaryngology | 5910 Courtyard Dr, Suite 300, Austin, TX 78731-3341 | 2013-02-04 |
| 1376803627 | James David Billie | Otolaryngology | 3904 Colgate Ave, Dallas, TX 75225-5423 | 2012-05-21 |
| 1760751671 | Ramiro E Verdooren M D P A | Otolaryngology | 801 E Nolana Ave Ste 1, Mcallen, TX 78504-6113 | 2011-12-21 |
| 1891840575 | Austin Ent Associates | Otolaryngology | 7200 Wyoming Springs Dr Ste 1400, Round Rock, TX 78681-4306 | 2007-01-24 |
| 1013026228 | Ear Nose & Throat Care, Pa | Otolaryngology | 2448 W Illinois Ave, Dallas, TX 75233-1106 | 2006-08-30 |
| 1164449666 | Andy Tuan Anh Chung | Otolaryngology | 7777 Forest Ln., Suite B432, Dallas, TX 75230-2576 | 2006-07-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. QUANG PHAM.
| 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.