Provider Demographics
NPI:1760636161
Name:ALEXANDER PHAM, PLLC
Entity Type:Organization
Organization Name:ALEXANDER PHAM, PLLC
Other - Org Name:ARLINGTON PAIN & INJURY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:T
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-891-4049
Mailing Address - Street 1:787 E PARK ROW DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-4408
Mailing Address - Country:US
Mailing Address - Phone:817-303-0300
Mailing Address - Fax:817-303-0311
Practice Address - Street 1:787 E PARK ROW DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4408
Practice Address - Country:US
Practice Address - Phone:817-303-0300
Practice Address - Fax:817-303-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11074111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty