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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629078464 NPPES
Texas MEDICAID 1782278

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