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John Tuan Pham

Family Medicine

Allopathic & Osteopathic Physicians

903 W Martin St, San Antonio, TX 78207-0903

PECOS Enrollment

This provider is enrolled in PECOS as JOHN PHAM.

Based on the most recent information from CMS, provider John Tuan 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
1912061623
Provider Type
Individual
Full Name
Pham, John Tuan
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
12/20/2006
Last Updated
2/19/2026

Contact Information

Practice Location

903 W Martin St, San Antonio, TX 78207-0903

(201) 358-3441

(210) 358-5944

Mailing Location

7615 Kennedy Hl, San Antonio, TX 78235-4437

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License U1544 Texas

Provider Identifiers

ID	Description	Issuer
ID 226856	Description Medicaid	Issuer Unlisted Oregon

John Tuan Pham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Martinez, Rafael

Myers, Abigail C

Labahn, Jacob

Ferrer, Robert

Aguilar, Leticia T

Rodriguez Pena, Stephanie Lynn

Feili, Ali

Buena Vista Family Practice, P.A.

Ortiz, David Dionisio

Omole, Oluwatosin