Quang Pham, D.O.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

S1223 Issued in TX

Practice address

121 Gaslight Medical Pkwy Ste 100
Lufkin, TX 75904-3154

Phone

(936) 699-3141

Fax

(936) 699-3145

NPI assigned

Jun 16, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lufkin ENT and Allergy PLLCGroup PAC ID 0840666764, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
• CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jimmy.pham@direct.einstein.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lufkin ENT and Allergy, PLLC

  • Otolaryngology Physician
  • Lufkin, TX
  • NPI 1801521091

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Memorial Multispecialty Associates

  • Urgent Care Clinic/Center
  • The Woodlands, TX
  • NPI 1295789337

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Health System of East Texas

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• Memorial Hospital of Polk County

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  Care Compare affiliation
• Piney Woods Healthcare System, L.P.

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  Care Compare affiliation

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1376957589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GASLIGHT MEDICAL PKWY STE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043154",
            "telephone_number": "936-699-3141",
            "fax_number": "936-699-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 GASLIGHT MEDICAL PKWY STE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043154",
            "telephone_number": "936-699-3141",
            "fax_number": "936-699-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "S1223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Behavioral Specialist of East Texas, LLP
• Jennifer Peikert, M.S. CCC/SLP
• Jaclyn Pena
• Lauren Elaine Penn, DPT, PT
• Hilario Perez Jr., PHARMD
• Thanh-Diu Thi Pham, PA-C
• Courtney Michelle Phillips, FNP
• Marisa Jon Phillips, LPC/NCC
• Misty Rae Phillips, FNP
• Monica Lindsey Phillips, RDMS, RVT

• Facial Plastic Surgery Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.