Pham, Justin Hung

Pham, Justin Hung is an individual health care provider with primary practice located at 1520 E San Pedro St Ste 102 , Laredo TX 78041-5479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pham, Justin Hung can be contacted via phone (956) 704-5153.

Contact Information

Primary practice address
1520 E San Pedro St Ste 102 Laredo TX 78041-5479
Phone: (956) 704-5153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD16575 Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X P3059 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD2007-0239 New Mexico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A72116 California

Profile Details

NPI number 1821040866
LBN Legal business name Pham, Justin Hung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 6th, 2023 - about 2 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 1821040866 NPPES
California MEDICAID 00A711260
California MEDICAID 102062266 0001
California MEDICAID 7100056140
California Other 00A711260
California MEDICAID 2927677
California MEDICAID 102062266 0005

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