Active NPI
Premier Provider Health PA
- Infectious Disease Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- M0223
- Legal business name
- PREMIER PROVIDER HEALTH PA
- Practice address
- 4316 James Casey St Ste B-100
Austin, TX 78745-1142 - Phone
- (512) 444-4325
- NPI assigned
- Jun 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Han Ngoc Pham, M.D.
- Title
- Ceo
- Phone
- (214) 274-1507
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | M0223 | TX | Primary |
Addresses
Primary practice location
4316 James Casey St Ste B-100
Austin, TX 78745-1142
Mailing address
7314 Centenary Ave Ste 700
Dallas, TX 75225-4624
Phone (214) 274-1507
Other practice location 1
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 816-7102
Other practice location 2
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 202-3830
Other practice location 3
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 202-3830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187308502 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
9301 N Central Expy
Ste 340
Dallas, TX 75231
Phone (214) 466-2828
9330 Poppy Dr
Ste 201
Dallas, TX 75218
Phone (214) 324-3875
8652 Medical City Way
Fort Worth, TX 76177
4441 Bryant Irvin Rd N
Ft Worth, TX 76107
Phone (817) 382-2150
6161 State Highway 161
Ste 310
Irving, TX 75038
Phone (469) 697-6064
2410 Round Rock Ave
Ste 195
Round Rock, TX 78681
Phone (512) 341-5141
5230 Old Jacksonville Hwy
Ste 105
Tyler, TX 75703
Phone (430) 201-4216
Practitioners & affiliated clinicians
Practitioners 41
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- San Antonio, TX
- NPI 1932631058
-
- Physician Assistant
- Round Rock, TX
- NPI 1194106070
-
- Surgery Physician
- Dallas, TX
- NPI 1497893754
-
- Emergency Medicine Physician
- Frisco, TX
- NPI 1356789168
-
- Geriatric Medicine (Family Medicine) Physician
- Austin, TX
- NPI 1255789962
-
- Family Medicine Physician
- Round Rock, TX
- NPI 1720582356
-
- Plastic and Reconstructive Surgery Physician
- Houston, TX
- NPI 1619408325
-
- Surgical Physician Assistant
- McKinney, TX
- NPI 1558634790
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1568490621
-
- Family Medicine Physician
- Austin, TX
- NPI 1770920613
-
- Obstetrics & Gynecology Physician
- Arlington, TX
- NPI 1073967626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655769600000",
"number": "1013397066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7314 CENTENARY AVE STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752254624",
"telephone_number": "214-274-1507",
"fax_number": "512-354-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4316 JAMES CASEY ST STE B-100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451142",
"telephone_number": "512-444-4325"
}
],
"practiceLocations": [
{
"address_1": "901 W Ben White Blvd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "78704",
"country_code": "US",
"telephone_number": "512-816-7102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12221 N Mopac Expy",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787582401",
"country_code": "US",
"telephone_number": "512-202-3830",
"fax_number": "512-354-1106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12221 N Mopac Expy",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787582401",
"country_code": "US",
"telephone_number": "512-202-3830",
"fax_number": "512-354-1106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREMIER PROVIDER HEALTH PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "HAN",
"authorized_official_middle_name": "NGOC",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-274-1507",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "M0223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187308502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.