Provider Demographics
NPI:1982996088
Name:PHAM, JOSEPH DUC (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DUC
Last Name:PHAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9101 N CENTRAL EXPY STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5945
Mailing Address - Country:US
Mailing Address - Phone:469-800-7100
Mailing Address - Fax:214-363-2608
Practice Address - Street 1:9101 N CENTRAL EXPY STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5945
Practice Address - Country:US
Practice Address - Phone:469-800-7100
Practice Address - Fax:214-363-2608
Is Sole Proprietor?:No
Enumeration Date:2011-05-07
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP7833207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine