DANIEL HA PHAM, MD PA
Marriage and Family Therapists at Ira E Woods Ave, Grapevine, TX

License number
Texas L0903
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. DANIEL HA PHAM M.D.
Title: PHYSICIAN/OWNER
Phone: (817) 421-2714
Address
Address
3105 E Ira E Woods Ave SUITE 120, Grapevine, TX 76051
National Provider ID: 1538323639
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DANIEL HA PHAM, M.D., PA

3105 Ira E Wood Ave STE 120, Grapevine, TX 76051

Registration:
Dec 14, 2005
State ID:
0800585016
Business type:
Professional Association
President, Member, Secretary, Director:
Daniel H. Pham (President, Member, Secretary, Director)
Agent:
Daniel Pham,3105 Ira E Wood Ave SUITE 120, Grapevine, TX 76051 (Physical)
TIN:
32035274771

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