Provider Demographics
NPI:1710631221
Name:PHAM, OANA CRISTINA (NP)
Entity Type:Individual
Prefix:
First Name:OANA
Middle Name:CRISTINA
Last Name:PHAM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 RIDGE VIEW LN
Mailing Address - Street 2:
Mailing Address - City:TROPHY CLUB
Mailing Address - State:TX
Mailing Address - Zip Code:76262-5618
Mailing Address - Country:US
Mailing Address - Phone:917-697-5943
Mailing Address - Fax:
Practice Address - Street 1:8501 WADE BLVD STE 1330
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0245
Practice Address - Country:US
Practice Address - Phone:214-618-0859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-04
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1069495363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner