Most Relevant Information
Provider Data
| NPI Number: | 1003588922 |
| Provider Name: | STEPHANIE PHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA14947 |
Most Important Dates
| Enumeration Date: | 09/29/2021 |
| Last Updated: | 09/29/2021 |
Provider Practice Location
1900 VESTAVIA CT
ARLINGTON
TX
760182579
Practice Location Phone/Fax
| Phone: | 8177143659 |
| Fax: |
Provider Mailing Location
1900 VESTAVIA CT
ARLINGTON
TX
760182579
Provider Mailing Phone/Fax
| Phone: | 8177143659 |
| Fax: |