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Hien The Pham

Internal Medicine

Allopathic & Osteopathic Physicians

4801 Alberta Ave, El Paso, TX 79905-2707

PECOS Enrollment

This provider is enrolled in PECOS as HIEN PHAM.

Based on the most recent information from CMS, provider Hien The Pham is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1861014136
Provider Type
Individual
Full Name
Pham, Hien The
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/10/2020
Last Updated
3/20/2023

Contact Information

Practice Location

4801 Alberta Ave, El Paso, TX 79905-2707

(915) 215-8000

Unlisted Fax

Mailing Location

11511 Shadow Creek Pkwy, Pearland, TX 77584-7298

(713) 442-0000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License U1993 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Hien The Pham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Campagna, Leopoldo Jose

Botrus, Gehan

Goranti, Jyothsna

Didia, S Claudia

Marioni, Noe

Sumayin Ngamdu, Kyari

Gonzalez, Jaime

Gohar, Munaza

Rodriguez, Luis L.

Chia, Jia Ee