Provider Demographics
NPI:1053570184
Name:PHAM, VIET HOAI (MD)
Entity type:Individual
Prefix:DR
First Name:VIET
Middle Name:HOAI
Last Name:PHAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4775 HAMILTON WOLFE #1
Mailing Address - Street 2:EAR, NOSE, AND THROAT CLINICS OF SAN ANTONIO
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-258-5359
Mailing Address - Fax:
Practice Address - Street 1:4775 HAMILTON WOLFE #1
Practice Address - Street 2:EAR, NOSE, AND THROAT CLINICS OF SAN ANTONIO
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-258-5359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5560207Y00000X
TXBP10032655207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology