Individual ProviderVuong-Lam PhamThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address6720 Bertner Ave Ste O-520, Houston, TX 77030-2604(832) 355-2666(713) 798-7356PECOS EnrollmentBased on the most recent information from CMS, provider Vuong-Lam Pham is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1518351626Provider TypeIndividualFull NamePham, Vuong-LamGenderMaleSole ProprietorNoEnumeration Date3/26/2015Last Updated8/1/2025Contact InformationPractice LocationPractice Address6720 Bertner Ave Ste O-520, Houston, TX 77030-2604Phone(832) 355-2666Fax(832) 355-6279Mailing LocationMailing Address6501 Fannin St Ste Nc114, Houston, TX 77030-2703Phone(713) 798-7356Fax(601) 984-5110Provider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicenseV9695TexasCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseT-2999MississippiCode2086S0102XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseV9695TexasProvider IdentifiersIDDescriptionIssuerID08670521DescriptionMedicaidIssuerUnlistedMississippi