Provider Demographics
NPI:1407304066
Name:HAN PHAM HULEN MD PA
Entity Type:Organization
Organization Name:HAN PHAM HULEN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD; OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HULEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-566-4868
Mailing Address - Street 1:PO BOX 842193
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-2193
Mailing Address - Country:US
Mailing Address - Phone:512-202-3830
Mailing Address - Fax:512-354-1106
Practice Address - Street 1:18960 N MEMORIAL DR
Practice Address - Street 2:PLAZA 4
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4216
Practice Address - Country:US
Practice Address - Phone:281-540-6322
Practice Address - Fax:281-540-7107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty