Nathan Pham, M.D
Pharmacist in San Antonio, TX. Individual provider (NPI-1).
NPI number1114245339
StatusActive
Last updated in NPPESSep 4, 2020
Details
- NPI
- 1114245339
- Entity type
- Individual (NPI-1)
- Name
- Nathan Pham
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2010
- Certification date
- Sep 4, 2020
- Last updated
- Sep 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS58864 | FL | Yes |
| 207Q00000X | Family Medicine | BP10037842 | TX |
Practice location
4511 Briar FrstSan Antonio, TX 78217-1415
Phone 305-496-4409
Mailing address
4511 Briar FrstSan Antonio, TX 78217-1415
Phone 305-496-4409
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