Active NPI
David Hong Pham, M.D.
- Family Medicine Physician
- Katy, TX
National Provider Identifier
1770659765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q9880
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 01062764A | IN | |
| Family Medicine Physician | 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062764A | IN | MD | Military Health Care Provider |
| Q9880 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Multi-Specialty | Current | Accepting new patients |
| Vpa of Texas PLLC | Multi-Specialty | Current | Accepting new patients |
| Vpa of Texas PLLC | Multi-Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.