DR. KEVIN MINH-HUY PHAM (NPI# 1306456702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306456702 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MINH-HUY PHAM |
| Credential | DMD |
| Practice Address |
344 Nw Loop 564 Ste 400 Mineola TX 75773-1128 |
| Mailing Address |
12713 Tantara Dr Austin TX 78729-6446 |
| Practice Telephone | 9036388287 |
| Mailing Telephone | 5129473629 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
36470 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356904742 | Kevin Q Pham | Pharmacist | 13191 Hilton Ln, Garden Grove, CA 92843-2222 | 2019-04-21 |
| 1619472701 | Kevin Van Pham | Optometrist | 2110 Deerwood Ct, Pearland, TX 77581-2284 | 2018-03-29 |
| 1487963773 | Kevin Hoang Pham | Pharmacist | 14047 W Windsor Ave, Goodyear, AZ 85395-2485 | 2010-10-04 |
| 1295055747 | Kevin Pham | Pharmacist | 153 E Gladstone St, Azusa, CA 91702-4926 | 2010-06-08 |
| 1003900705 | Kevin Thang Pham I | Dentist | 7746 Lorraine Ave Ste 204, Stockton, CA 95210-4234 | 2006-10-03 |
| 1811524911 | Kevin Minh Pham | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-03-26 |
| 1629531868 | Kevin Pham | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2019-04-12 |
| 1770043481 | Kevin Pham | Behavior Technician | 5762 Bolsa Ave Ste 100, Huntington Beach, CA 92649-1172 | 2019-03-20 |
| 1235697699 | Kevin Pham | Behavior Technician | 1101 S Winchester Blvd Ste N-260, San Jose, CA 95128-3901 | 2019-03-05 |
| 1083170476 | Kevin Pham | Behavior Technician | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2019-02-11 |
| Street Address |
344 NW LOOP 564 STE 400 |
| City | MINEOLA |
| State | TX |
| Zip Code | 75773-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750873782 | Mineola Dental Pllc | Dentist | 344 Nw Loop 564 Ste 400, Mineola, TX 75773-1128 | 2018-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368470 | J.l. Miguez, Inc. | Hearing Aid Equipment | 125 W. Broad Street, Mineola, TX 75773 | 2020-02-17 |
| 1063992709 | Revis Pernell | Licensed Vocational Nurse | 497 Cr 2363, Mineola, TX 75773 | 2018-08-21 |
| 1205338258 | Cricket Weber | Registered Nurse | 555 Private Road 6307, Mineola, TX 75773 | 2018-03-06 |
| 1942720354 | Heidi Leann Hoke | Nutritionist | 123 N. Line St., Mineola, TX 75773 | 2017-06-27 |
| 1083787865 | East Texas Rayon Services, LLC | Durable Medical Equipment & Medical Supplies | 5361 S State High Way 37, Mineola, TX 75773 | 2006-11-17 |
| 1902999113 | Johnny Allen Colegrove | Chiropractor | 1044 N Pacific, Mineola, TX 75773 | 2006-10-02 |
| 1679670731 | John Christopher Lee | Dentist | 223 N Graham, Mineola, TX 75773 | 2006-09-20 |
| 1154358638 | Jose Ricardo Martinez | Family Medicine | 5875 South Hwy. 37, Mineola, TX 75773 | 2006-06-28 |
| 1891167151 | Jamie Johnson | Nurse Practitioner | 1302 N Pacific St, Mineola, TX 75773 | 2015-10-27 |
| 1184941320 | Dan Riddle White | Dentist | 1800 South Pacific, Mineola, TX 75773 | 2010-04-28 |
| Find all providers in zip 75773 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386007862 | Byung Joo Nahm | Dentist | 200 Old Country Rd Ste 460, Mineola, NY 11501-4293 | 2016-04-01 |
| 1831352954 | Alan R Kazlow | Dentist | 166 Roselle St, Mineola, NY 11501-2038 | 2008-07-09 |
| 1386810539 | Miguel Alberto Casanas Jr. | Dentist | 130 E Jericho Tpke, Mineola, NY 11501-3121 | 2008-05-07 |
| 1285812891 | Irlene Antunes Siegel | Dentist | 245 Mineola Blvd, Mineola, NY 11501-2406 | 2008-02-06 |
| 1053501635 | Brian Arthur Kay | Dentist | 1800 S Pacific St, Mineola, TX 75773-2800 | 2007-07-30 |
| 1841406758 | Vincent A. Conti | Dentist | 499 Jericho Tpke, Suite 106, Mineola, NY 11501-1136 | 2007-05-15 |
| 1316017098 | Rachel Thomas | Dentist | 146 Mineola Blvd, Mineola, NY 11501-3918 | 2006-11-09 |
| 1255419321 | Karl Gerhard Scheffrahn | Dentist | 1800 South Pacific, Mineola, TX 75773-2800 | 2006-11-02 |
| 1104927375 | Eugene Simons | Dentist | 331 Willis Ave, Mineola, NY 11501-1530 | 2006-09-26 |
| 1679670731 | John Christopher Lee | Dentist | 223 N Graham, Mineola, TX 75773 | 2006-09-20 |
| Find all providers in MINEOLA | ||||
Please comment or provide details below to improve the information on DR. KEVIN MINH-HUY PHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.