Bao Thang N Pham


Address: 12545 Briar Forest Dr, Suite A, Houston, TX 77077-2900

Bao Thang N Pham (NPI# 1417098500, PAC ID# 5890865182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1417098500
PAC ID by PECOS 5890865182
Professional Enrollment ID I20080529000186
Full Name Bao Thang N Pham
Address 12545 Briar Forest Dr
Suite A
Houston
TX 77077-2900
Gender M
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year 2003
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450644 WEST HOUSTON MEDICAL CENTER
450610 MEMORIAL HERMANN MEMORIAL CITY HOSPITAL
450184 MEMORIAL HERMANN HOSPITAL SYSTEM

Other Locations

Address Phone Organization
12545 Briar Forest Dr, Suite A, Houston, TX 77077-2900

Organization Information

Office Location

Street Address 12545 BRIAR FOREST DR
SUITE A
City HOUSTON
State TX
Zip 77077-2900

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Oscar C Glickman Clinical Social Worker Deer Oaks Geriatric Services P C 1321 Park Bayou Dr, Houston, TX 77077-1507
Laura L Mann Clinical Social Worker Deer Oaks Geriatric Services P C 1321 Park Bayou Dr, Houston, TX 77077-1507
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Christopher Brown Physical Therapy Breathing Centers of Texas, Pllc 1127 Eldridge Pkwy, Suite 800, Houston, TX 77077-1771
Jocelyn P Ton Urizar Optometry 1635 Eldridge Pkwy, Suite 360, Houston, TX 77077-2154
Brandi N Montgomery Optometry Enclave Vision Associates Pllc 1140 Eldridge Pkwy, Suite 120, Houston, TX 77077-2544
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Competitor

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City HOUSTON
Zip Code 77077
Specialty FAMILY MEDICINE
City + Specialty HOUSTON + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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