Provider Demographics
NPI:1487814398
Name:PHAM, SAPA (MD)
Entity Type:Individual
Prefix:
First Name:SAPA
Middle Name:
Last Name:PHAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7789 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 530
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1829
Mailing Address - Country:US
Mailing Address - Phone:281-495-2222
Mailing Address - Fax:281-495-2146
Practice Address - Street 1:7789 SOUTHWEST FWY
Practice Address - Street 2:SUITE 530
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1829
Practice Address - Country:US
Practice Address - Phone:281-495-2222
Practice Address - Fax:281-495-2146
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2023-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP8980207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX337505701Medicaid
TX349351YYQDMedicare PIN