Organization Active NPI

Han Pham Hulen MD PA

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1881311017
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HAN PHAM HULEN MD PA
Practice address
8644 Medical City Way
Fort Worth, TX 76177
Phone
(817) 984-5880
Fax
(817) 868-6629
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Han Pham Hulen
Title
MD
Phone
(214) 274-1507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8644 Medical City Way
Fort Worth, TX 76177

Mailing address

PO Box 3409
Pflugerville, TX 78691-3409
Phone (512) 202-3830

National Provider Directory

National Provider Directory
Tax ID family
Han Pham Hulen MD PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8644 Medical City Way
Fort Worth, TX 76177
Phone (817) 984-5880

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1881311017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3409",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786913409",
            "telephone_number": "512-202-3830",
            "fax_number": "513-904-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8644 MEDICAL CITY WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76177",
            "telephone_number": "817-984-5880",
            "fax_number": "817-868-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN PHAM HULEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "PHAM HULEN",
        "authorized_official_first_name": "HAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "214-274-1507"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.