Provider Demographics
NPI:1811635642
Name:HP & RP PLLC
Entity type:Organization
Organization Name:HP & RP PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HA
Authorized Official - Middle Name:LE
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:480-740-7426
Mailing Address - Street 1:7650 S MCCLINTOCK DR STE 103
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-1673
Mailing Address - Country:US
Mailing Address - Phone:480-740-7426
Mailing Address - Fax:
Practice Address - Street 1:750 S IRONWOOD DR STE 102
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-5047
Practice Address - Country:US
Practice Address - Phone:480-740-7426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty