Pham, Trung H

Pham, Trung H is an sole proprietor health care provider with primary practice located at 10016 S Mingo Rd Ste A , Tulsa OK 74133-5789. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pham, Trung H can be contacted via phone (918) 459-0583.

Contact Information

Primary practice address
10016 S Mingo Rd Ste A Tulsa OK 74133-5789
Fax: (918) 250-0120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3313 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3313 Oklahoma

Profile Details

NPI number 1700851052
LBN Legal business name Pham, Trung H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Oct 18th, 2013 - about 11 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 1700851052 NPPES
Oklahoma MEDICAID 100223040H

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