MAI THAO PHAM (NPI# 1902251317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902251317 |
| Entity Type | Individual |
| Full Name | MAI THAO PHAM |
| Credential | MD |
| Practice Address |
605 S Conroe Medical Dr Conroe TX 77304-4722 |
| Mailing Address |
9999 Bellaire Blvd Ste 370 Houston TX 77036-3579 |
| Practice Telephone | 9365394004 |
| Practice Fax Number | 9365393635 |
| Mailing Telephone | 9365394004 |
| Mailing Fax Number | 9365393635 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | BP10057692 | TX | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447464730 | Mai Thanh Pham | Surgery | 1229 Madison St Suite # 1190, Seattle, WA 98104 | 2007-05-09 |
| 1598711236 | Mai Pham | Physical Therapist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2006-05-25 |
| 1558850990 | Mai Pham | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2018-05-01 |
| 1669969440 | Mai T Pham | Nurse Anesthetist, Certified Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2018-04-18 |
| 1780123141 | Mai Pham | Pharmacist | 3082 Bienville Blvd, Ocean Springs, MS 39564-4354 | 2017-02-18 |
| 1932504826 | Mai Pham | Behavioral Analyst | 80 W Main St, Mendham, NJ 07945-1257 | 2014-11-04 |
| 1245643154 | Mai Pham | Dentist | 2414 S Fairview St, Suite #101, Santa Ana, CA 92704-5318 | 2014-06-09 |
| 1891095709 | Mai Thi Pham | Pharmacist | 771 Thornton Pkwy, Thornton, CO 80229-3680 | 2010-10-26 |
| 1548598014 | Mai Thi Pham | Pharmacist | 3033 S 14th St, Abilene, TX 79605-5144 | 2009-11-22 |
| 1598093023 | Mai Thi Phuong Pham | Pharmacist | 12407 Grant Rd, Cypress, TX 77429-2420 | 2009-11-20 |
| Street Address |
605 S CONROE MEDICAL DR |
| City | CONROE |
| State | TX |
| Zip Code | 77304-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045774 | Lone Star Community Health Center, Inc. | Clinic/Center | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2005-06-30 |
| 1508485822 | Julian Hilario Jimenez | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1376162693 | Atharva Prashant Joshi | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1437779774 | Devin Adam Quiroz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1396365631 | Brian Thomas Benjamin | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1922627389 | Lauren Quyen Duong | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1720607104 | Bryan J Bessellieu | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1952920340 | Valerie Christine Hopper | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1477172849 | Anthony Bert Diaz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1013536457 | Rushab Harshadkumar Patel | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068811 | Nolan Bond | Student in an Organized Health Care Education/Training Program | 12382 Tramonto Dr, Conroe, TX 77304-4559 | 2020-03-16 |
| 1578004990 | Nidhisha Anireddy | Student in an Organized Health Care Education/Training Program | 15244 Saddlewood Dr, Conroe, TX 77384-3453 | 2017-03-17 |
| 1508485822 | Julian Hilario Jimenez | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1376162693 | Atharva Prashant Joshi | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1437779774 | Devin Adam Quiroz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1396365631 | Brian Thomas Benjamin | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1922627389 | Lauren Quyen Duong | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1720607104 | Bryan J Bessellieu | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1952920340 | Valerie Christine Hopper | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1477172849 | Anthony Bert Diaz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| Find all providers in CONROE | ||||
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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.