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RICHARD PHAM MD PA NPI 1578755898


NPI Information

NPI: 1578755898
Provider Name: RICHARD PHAM MD PA

Doing Business As: FAMILY HEALTH & WELLNESS CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0978208

Address:
492 SPRINGHILL ST
SUITE A
JASPER, TX
ZIP 75951
Phone: (409) 381-5750
Get Directions

RICHARD PHAM MD PA is a family medicine in Jasper, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RICHARD PHAM MD PA NPI is 1578755898. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Health & Wellness Center.

The provider's business location address is:

492 SPRINGHILL ST
SUITE A
JASPER, TX
ZIP 75951-922
Phone: (409) 381-5750
Fax: (409) 384-2018

The provider's authorized official is Richard D Pham .
The authorized official title is Owner and has the following contact phone number (409) 381-5750.

The CLIA number assigned to this NPI record is 45D0978208 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 6/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineK2098TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G80338MEDICARE UPINTEXAS
2187770601MEDICAIDTEXAS
300Y101MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.