Provider Demographics
NPI:1215151485
Name:PHAM, PAUL MINH (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MINH
Last Name:PHAM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6306 GULFTON ST # 202
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1108
Mailing Address - Country:US
Mailing Address - Phone:713-541-3012
Mailing Address - Fax:713-541-3010
Practice Address - Street 1:6306 GULFTON ST # 202
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1108
Practice Address - Country:US
Practice Address - Phone:713-541-3012
Practice Address - Fax:713-541-3010
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor