Provider Demographics
NPI:1851997019
Name:CONNIE PHAM, M.D., PLLC
Entity Type:Organization
Organization Name:CONNIE PHAM, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL INTERNIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:LANPHUONG
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-704-2282
Mailing Address - Street 1:7850 PARKWOOD CIRCLE DR STE A-7
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-6760
Mailing Address - Country:US
Mailing Address - Phone:512-704-2282
Mailing Address - Fax:
Practice Address - Street 1:7850 PARKWOOD CIRCLE DR STE A-7
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-6760
Practice Address - Country:US
Practice Address - Phone:512-704-2282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty