Dr Vien Pham PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR VIEN PHAM PLLC

Practice address

1717 Highway 59 Loop N Ste C
Livingston, TX 77351-5720

Phone

(936) 327-7147

Fax

(936) 328-5255

NPI assigned

Jul 15, 2019

Last updated

Aug 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Gail Cox

Title

Office Manager

Phone

(936) 327-7147

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Vien Thuy Pham, MD

  • Internal Medicine Physician
  • Livingston, TX
  • NPI 1043654114
  Medicare reassignment NPD

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1376195859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 EASTWOOD AVE",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513342",
            "telephone_number": "936-327-7147",
            "fax_number": "936-328-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HIGHWAY 59 LOOP N STE C",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773515720",
            "telephone_number": "936-327-7147",
            "fax_number": "936-328-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Eastwood Ave",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TX",
            "postal_code": "773513342",
            "country_code": "US",
            "telephone_number": "936-327-7147 x129",
            "fax_number": "936-328-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR VIEN PHAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-327-7147",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Livingston, TX
• Providers in Livingston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.

Verify at the official NPI Registry.