Xuan T. Pham, O.d., Llc

NPI 1194001511 - Optometrist - 152W00000X

NPI Details
NPI 1194001511
Enumeration Date 10/31/2011
Last Updated 10/31/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Position OWNER
Phone (985) 632-4747
Fax (985) 632-4750
Practice Location
16759 HWY 3235
Phone (985) 632-4747
Fax (985) 632-4750
Business Location
165 E 43RD ST
CUT OFF LA, 70345-2717, US
Phone (985) 278-1666
Fax (985) 632-4750
Taxonomy Code 152W00000X
License State Louisiana
License Number 1624-657T
Remove 1194001511 NPI Number

According to our database, Xuan T. Pham, O.d., Llc NPI is 1194001511, taxonomy code is 152W00000X and license number is 1624-657T, license state is located at Louisiana. Xuan T. Pham, O.d., Llc physically located at 16759 Hwy 3235, Galliano LA, 70354. NPI Number 1033115704 has the healthcare provider type.

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1194001511 NPI number is provided on an as is basis without warranty of any kind. 1194001511 is maintained by the National Plan & Provider Enumeration System. The contents of Xuan T. Pham, O.d., Llc are for informational purposes only.