Pham & Lucas Enterprises, Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

17862 Issued in TX

Legal business name

PHAM & LUCAS ENTERPRISES, INC

Practice address

8240 Antoine Dr
206
Houston, TX 77088-2534

Phone

(281) 741-7400

Fax

(281) 741-7406

NPI assigned

Jan 15, 2009

Last updated

Jan 15, 2009By 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

Diep T Pham, DDS

Title

Owner

Phone

(281) 741-7400

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Peter Kim, DDS

  • Dentist
  • Houston, TX
  • NPI 1700191061
  NPD (past)

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1811134620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38602",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772388602",
            "telephone_number": "281-741-7400",
            "fax_number": "281-741-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 ANTOINE DR",
            "address_2": "206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770882534",
            "telephone_number": "281-741-7400",
            "fax_number": "281-741-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM & LUCAS ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DIEP",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-741-7400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "17862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908501-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098170-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PGR, Inc (Propsych Testing)
• PGR, Inc. (Propsych Counseling)
• PH Dentistry, PC
• Kanchan Phalak, M.D.
• Sameer Phalak, M.D.
• Pham & Sons Corp. Dba Central Pharmacy (Central Pharmacy)
• Kathleen Camlai Pham Dela Paz, DDS
• Pham Medical Clinic PA
• Linda T Pham-Huynh, RPH
• Adryene Anh Vu Pham, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Houston, TX
• Providers in Houston, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.