Provider Demographics
NPI:1760918361
Name:NHAN PHAM DMD INC.
Entity Type:Organization
Organization Name:NHAN PHAM DMD INC.
Other - Org Name:KARSIL DENTAL PROFESSIONALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-830-3578
Mailing Address - Street 1:8703 BROADWAY ST STE 125
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8098
Mailing Address - Country:US
Mailing Address - Phone:281-485-6088
Mailing Address - Fax:
Practice Address - Street 1:8703 BROADWAY ST STE 125
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8098
Practice Address - Country:US
Practice Address - Phone:281-485-6088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29239122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty