Pham, Kathleen Huan

Pham, Kathleen Huan is an individual health care provider with primary practice located at 951 W Main St Suite A, Lewisville TX 75067-3515. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Pham, Kathleen Huan can be contacted via phone (972) 434-4300.

Contact Information

Primary practice address
951 W Main St Suite A Lewisville TX 75067-3515
Phone: (972) 434-4300
Fax: (972) 360-3294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 21912 Texas
Dental Providers / General Practice 1223G0001X 0021912 Texas

Profile Details

NPI number 1093896409
LBN Legal business name Pham, Kathleen Huan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jun 17th, 2022 - 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 1093896409 NPPES
Texas MEDICAID 181951801

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