PHUONG PHAM (NPI# 1861550618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861550618 |
| Entity Type | Individual |
| Full Name | PHUONG PHAM |
| Practice Address |
117 Louis Henna Blvd Building B-230 Round Rock TX 78664-7343 |
| Mailing Address |
3701 Kirby Dr Suite 550 Houston TX 77098-3900 |
| Practice Telephone | 5122387449 |
| Mailing Telephone | 5122387449 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19802 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094098 | Phuong Pham | Registered Nurse | 881 W Macaw Dr, Chandler, AZ 85286-7622 | 2020-08-18 |
| 1366085946 | Phuong Tuan Pham | Pharmacist | 1926 Crosshair Cir, Orlando, FL 32837-7402 | 2019-10-25 |
| 1932753027 | Phuong Pham | Optometrist | 1971 U.S. 287 Frontage Rd Ste 105, Mansfield, Tx 76063, Mansfield, TX 76063-7606 | 2019-07-28 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1144608993 | Phuong Pham | Non-emergency Medical Transport (VAN) | 4307 Birdseye Way, Elk Grove, CA 95758-6045 | 2015-05-13 |
| 1619247442 | Phuong Dieu Pham | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2012-01-10 |
| 1215262498 | Phuong Pham | Optometrist | 173 N Morrison Ave Ste B, San Jose, CA 95126 | 2009-10-06 |
| 1760643779 | Phuong Minh Pham | Plastic Surgery | 41540 Winchester Rd Ste B, Temecula, CA 92590 | 2008-06-23 |
| 1497814800 | Phuong Pham | Dentist | 12341 Main St, Houston, TX 77035-6205 | 2006-12-08 |
| 1669585998 | Phuong B Pham | Pharmacist | 2251 Double Creek Dr, Ste 402, Round Rock, TX 78664-3830 | 2006-08-17 |
| Street Address |
117 LOUIS HENNA BLVD BUILDING B-230 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-7343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003981721 | William M. Wyatt | Dentist | 117 Louis Henna Blvd, Suite B-230, Round Rock, TX 78664-7343 | 2006-11-21 |
| 1609000314 | Gopikiran Thota | Dentist | 117 Louis Henna Blvd, B230, Round Rock, TX 78664-7343 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966434 | Rr Adc Pllc | Dentist | 1025 Sendero Springs Dr Ste 170, Round Rock, TX 78681-1153 | 2020-09-15 |
| 1053953158 | Dental Health Associates of Texas, PC | Dentist | 3733 Gattis School Rd, Round Rock, TX 78664-4020 | 2019-10-10 |
| 1336700327 | Chelsea Diamond | Dentist | 3701 Gattis School Rd Ste 100, Round Rock, TX 78664-2132 | 2019-06-21 |
| 1184181257 | Mydental At Round Rock Pllc | Dentist | 1850 S A W Grimes Blvd Unit A-02, Round Rock, TX 78664-7424 | 2019-02-25 |
| 1093208696 | Hiep Duy Pham | Dentist | 4554 Miraval Loop, Round Rock, TX 78665-3929 | 2018-06-08 |
| 1265985113 | David Cheng | Dentist | 110 N. I-35, Suite 380, Round Rock, TX 78681 | 2016-07-27 |
| 1831547686 | Alfredo Geoffrey Mateo | Dentist | 893 N Interstate 35 Ste 200, Round Rock, TX 78664-4311 | 2016-06-01 |
| 1972961654 | North Austin Dental Group Pllc | Dentist | 1114a Ih 35 N, Round Rock, TX 78681-4219 | 2016-02-09 |
| 1023489051 | Temple Choice Dental | Dentist | 4294 Ridgebend Dr, Round Rock, TX 78665-5008 | 2015-10-16 |
| 1346646981 | Round Rock Modern Dentistry, PC | Dentist | 2150 E Palm Valley Blvd, Suite 500, Round Rock, TX 78665-1529 | 2014-11-10 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on PHUONG 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.