MRS. HAO THI PHAM (NPI# 1720311160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720311160 |
| Entity Type | Individual |
| Full Name | MRS. HAO THI PHAM |
| Credential | APRRN, FNP-BC |
| Practice Address |
5602 Granite Falls Ln Missouri City TX 77459-5093 |
| Practice Telephone | 2254056717 |
| Mailing Telephone | 2254056717 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2020-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 81064 | CT | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP127030 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06851 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4161 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004236346 | 05 | |
| LA | 2323822 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| 1932554508 | Hao Pham | Counselor | 11895 Sw Greenburg Rd, Tigard, OR 97223 | 2016-05-02 |
| 1922476498 | Hao Pham | Dentist | 300 W Broadway Ste 30, Council Bluffs, IA 51503-9053 | 2015-09-14 |
| Street Address |
5602 GRANITE FALLS LN |
| City | MISSOURI CITY |
| State | TX |
| Zip Code | 77459-5093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801337 | Dynamik Transformations, LLC | Social Worker | 3522 Duncaster Dr, Missouri City, TX 77459 | 2020-11-03 |
| 1720606163 | Wonderfully Made Pediatrics, Pllc | Pediatrics | 8035 Highway 6 Ste 100, Missouri City, TX 77459 | 2020-07-13 |
| 1326608522 | Kyle Macdonald | Counselor | 9029 Sienna Ranch Road, Missouri City, TX 77459 | 2019-06-19 |
| 1275004947 | Andrea Christina Bland | Case Manager/Care Coordinator | 3426 Covey Trail Dr, Missouri City, TX 77459 | 2018-12-06 |
| 1477035814 | Golden Williams | Registered Nurse | 4502 Riverstone Boulevard, Missouri City, TX 77459 | 2018-09-01 |
| 1457831216 | Tania Leida Karmout | Physical Therapist | 4710 Lexington Boulevard, Missouri City, TX 77459 | 2018-08-20 |
| 1457831513 | Laila Dalope | Clinic/Center | 811 Sienna Springs Blvd, 521, Missouri City, TX 77459 | 2018-08-17 |
| 1477039196 | Tionyce Johnson | Behavior Technician | 3552 Fm 1092, Missouri City, TX 77459 | 2018-07-16 |
| 1861990681 | Nitta Ogu | Nurse Practitioner | 3631 John Hancock Lane, Missouri City, TX 77459 | 2018-01-26 |
| 1881100998 | Higden Dialysis LLC | Clinic/Center | 9340 Highway 6, Suite 400, Missouri City, TX 77459 | 2017-12-27 |
| Find all providers in zip 77459 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| 1639783772 | Monika Ghanshyam Patel | Nurse Practitioner | 3234 Selene Dr, Missouri City, TX 77459-0070 | 2020-09-05 |
| 1669081667 | Caitilin Mairead Gnan | Nurse Practitioner | 3307 Point Clear Dr, Missouri City, TX 77459-3621 | 2020-07-24 |
| 1689282980 | Crystal Chinasa Akah | Nurse Practitioner | 1503 Quail Trace Dr, Missouri City, TX 77489-5203 | 2020-07-22 |
| 1366067126 | Anne Gonzalez | Nurse Practitioner | 1618 Sheffield Dr, Missouri City, TX 77459-2746 | 2020-06-08 |
| 1518592690 | Ethel Obioha | Nurse Practitioner | 4107 Forest Leaf Cir, Missouri City, TX 77459-1576 | 2020-03-09 |
| 1033758578 | Syamjith Jayadevan | Nurse Practitioner | 2806 Town Gate Ct, Missouri City, TX 77459-6831 | 2020-01-02 |
| 1336782820 | Grace Joseph | Nurse Practitioner | 4501 Cartwright Rd Ste 504, Missouri City, TX 77459-3541 | 2019-10-28 |
| 1194368001 | Kama Ekon | Nurse Practitioner | 2031 Silver Moon Dr, Missouri City, TX 77459-7325 | 2019-10-23 |
| 1326681446 | Unlimited Wellness | Nurse Practitioner | 15010 Trinity Meadow Dr, Missouri City, TX 77489-2477 | 2019-10-21 |
| Find all providers in MISSOURI CITY | ||||
| City | MISSOURI CITY |
| Zip Code | 77459 |
Please comment or provide details below to improve the information on MRS. HAO THI 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.