Active NPI
Theresa Thien-Hoang Pham, M.D.
- Internal Medicine Physician
- Austin, TX
National Provider Identifier
1972531705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J7832
- Practice address
- 6521 Ladera Norte
Austin, TX 78755 - Phone
- (512) 755-9877
- Fax
- (512) 476-9892
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J7832 | TX | Primary |
Addresses
Primary practice location
6521 Ladera Norte
Austin, TX 78755
Mailing address
P.O. Box 27337
Austin, TX 78755
Phone (512) 775-9877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191785801 | Other | TX | GRP TPI # |
| 045086803 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J7832 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1972531705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 27337",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78755",
"telephone_number": "512-775-9877",
"fax_number": "512-476-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6521 LADERA NORTE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78755",
"telephone_number": "512-755-9877",
"fax_number": "512-476-9892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "THERESA",
"middle_name": "THIEN-HOANG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J7832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP TPI #",
"identifier": "191785801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045086803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.