Provider Demographics
NPI:1497405344
Name:HAN PHAM HULEN, MD, P.A.
Entity Type:Organization
Organization Name:HAN PHAM HULEN, MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM HULEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-274-1507
Mailing Address - Street 1:PO BOX 3409
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78691-3409
Mailing Address - Country:US
Mailing Address - Phone:513-252-7792
Mailing Address - Fax:
Practice Address - Street 1:8648 MEDICAL CITY WAY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-2413
Practice Address - Country:US
Practice Address - Phone:512-202-3830
Practice Address - Fax:512-354-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty