Individual provider Active NPI

David Hong Pham, M.D.

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1770659765
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9880 Issued in TX
Practice address
750 Westgreen Blvd
Katy, TX 77450-2799
Phone
(281) 578-4600
Fax
(281) 579-1925
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X 01062764A IN
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Q9880 TX Primary

Addresses

Primary practice location

750 Westgreen Blvd
Katy, TX 77450-2799

Mailing address

750 Westgreen Blvd
Katy, TX 77450-2799
Phone (281) 578-4600

Other practice location 1

1585 3rd St
Fort Polk, LA 71459-5102
Phone (337) 531-3548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191127002183 TX Practitioner - Family Practice 3072946326 Reassigns benefits to 1 organization
Practice locations: Katy, TX
I20220303002658 FL Practitioner - Family Practice 3072946326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01062764AINMDMilitary Health Care Provider
Q9880TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Multi-Specialty CurrentSince Jan 28, 2025 Accepting new patients
Vpa of Texas PLLC Multi-Specialty Current Accepting new patients
Vpa of Texas PLLC Multi-Specialty CurrentSince Jan 28, 2025 Accepting new patients

Locations

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1770659765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WESTGREEN BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502799",
            "telephone_number": "281-578-4600",
            "fax_number": "281-579-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WESTGREEN BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502799",
            "telephone_number": "281-578-4600",
            "fax_number": "281-579-1925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 3rd St",
            "address_purpose": "LOCATION",
            "city": "Fort Polk",
            "state": "LA",
            "postal_code": "714595102",
            "country_code": "US",
            "telephone_number": "337-531-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DAVID",
        "middle_name": "HONG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "IN",
            "license": "01062764A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.