Provider Demographics
NPI:1053631580
Name:PHAM, DON (MD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:
Last Name:PHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11914 ASTORIA BLVD STE 410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6049
Mailing Address - Country:US
Mailing Address - Phone:281-922-9239
Mailing Address - Fax:855-518-5437
Practice Address - Street 1:11914 ASTORIA BLVD STE 410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6049
Practice Address - Country:US
Practice Address - Phone:281-922-9239
Practice Address - Fax:855-518-5437
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10036775207R00000X
TXP2507207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine