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1396458337
HASAN PHAM
FORT WORTH, TX
NPI
1396458337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1099375)
Enumeration Date
2023-01-05
Last Update Date
2023-01-31
Business Address
HASAN PHAM
1900 MISTLETOE BLVD
FORT WORTH, TX 76104-4050
Phone number: 817-338-1300
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Mailing Address
HASAN PHAM
1900 MISTLETOE BLVD
FORT WORTH, TX 76104-4050
Phone number: 682-557-0111
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