MY PHUONG THI PHAM

GRAND PRAIRIE, TX
NPI1033400536
Professional NamePHUONG THI PHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA07286)
Enumeration Date2011-05-02
Last Update Date2021-07-03
Business Address
MY PHUONG THI PHAM PA
710 E PIONEER PKWY
GRAND PRAIRIE, TX 75051-4958
Phone number: 972-262-8211
Mailing Address
MY PHUONG THI PHAM PA
710 E PIONEER PKWY
GRAND PRAIRIE, TX 75051-4958
Phone number: 972-262-8211
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