Organization Active NPI

Tony a Pham MD PA

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1245754902
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M5883 Issued in TX
Legal business name
TONY A PHAM MD PA
Practice address
1315 St Joseph Pkwy Ste 1307
Houston, TX 77002-8236
Phone
(713) 376-3459
Fax
(713) 655-0506
NPI assigned
Aug 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tony Ai Pham, MDNPI 1245419225
Title
Ceo
Phone
(832) 341-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X M5883 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy Ste 1307
Houston, TX 77002-8236

Mailing address

1315 St Joseph Pkwy Ste 1307
Houston, TX 77002-8236
Phone (713) 376-3459

Other identifiers 1

IdentifierTypeStateIssuer
173990604MedicaidTX

National Provider Directory

National Provider Directory

Locations

1315 St Joseph Pkwy
Ste 1307
Houston, TX 77002
Phone (713) 376-3459

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245754902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028236",
            "telephone_number": "713-376-3459",
            "fax_number": "713-655-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028236",
            "telephone_number": "713-376-3459",
            "fax_number": "713-655-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY A PHAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "AI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-341-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M5883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173990604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.