Provider Demographics
NPI:1063623080
Name:PHAM, CYNTHIA ANNE (DO)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANNE
Last Name:PHAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7160 BARKER CYPRESS RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5294
Mailing Address - Country:US
Mailing Address - Phone:281-345-2336
Mailing Address - Fax:281-345-2338
Practice Address - Street 1:7160 BARKER CYPRESS RD
Practice Address - Street 2:SUITE A
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5294
Practice Address - Country:US
Practice Address - Phone:281-345-2336
Practice Address - Fax:281-345-2338
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2016-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101015799207Q00000X
TXN4666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine