Pham, Daniel Ha
Pham, Daniel Ha is an sole proprietor health care provider with primary practice located at 3105 Ira E Woods Ave Suite 120, Grapevine TX 76051-3891. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pham, Daniel Ha can be contacted via phone (817) 421-2714.Contact Information
Primary practice address
3105 Ira E Woods Ave Suite 120
Grapevine TX 76051-3891
Phone: (817) 421-2714
Fax: (817) 421-2717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L0903 | Texas |
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | L0903 | Texas |
Profile Details
| NPI number | 1629078464 |
|---|---|
| LBN Legal business name | Pham, Daniel Ha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Mar 2nd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629078464 | NPPES |
| Texas | MEDICAID | 1782278 |
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