Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN PHAM, D.O
Active Sole ProprietorRYAN PHAM, D.O is a Dermatology healthcare provider located in BURLESON, Texas. NPI 1407173230 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BURLESON, TX
Registration Details
- NPI Number
- 1407173230
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2010 (16.309567792936 yrs)
- Last Updated
- Nov 28, 2017
- Licenses
-
P1128 (TX)P1128 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
621 SW JOHNSON AVESUITE CBURLESON, TX, 760285833Browse TX providers · Browse ZIP 76028
- Phone
- 8177667421
- Fax
- 8174478100
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in BURLESON, TX
| Name | Credential | NPI |
|---|---|---|
| DR. MOHAMMED BASEM CHAKER | M.D. | 1417054719 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.