ANH TIEN PHAM

SAN ANTONIO, TX
NPI1760547681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111NR0400X 
(Licence: TX  6895)
Additional Taxonomies111NR0400X 
(Licence: FL  Ch 7955)
Enumeration Date2006-12-22
Last Update Date2008-06-25
Business Address
-- ANH TIEN PHAM DC
1007 POTEET JOURDANTON FWY 120
SAN ANTONIO, TX 78224-1207
Phone number: 210-927-7788
Mailing Address
-- ANH TIEN PHAM DC
9247 INGLETON
SAN ANTONIO, TX 78245-1658
Phone number: 210-927-7788
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