Pham, Katie P

Pham, Katie P is an individual health care provider with primary practice located at 12320 Barker Cypress Rd Suite 400, Cypress TX 77429-8326. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pham, Katie P can be contacted via phone (281) 373-1020.

Contact Information

Primary practice address
12320 Barker Cypress Rd Suite 400 Cypress TX 77429-8326
Fax: (281) 373-1695
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5747TG Texas

Profile Details

NPI number 1063405215
LBN Legal business name Pham, Katie P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jun 17th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063405215 NPPES
Texas MEDICAID 156339701

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