JONATHAN CUONG PHAM


Address: 1500 S Main St, Fort Worth, TX 76104-4917
Phone: 8177028840

JONATHAN CUONG PHAM (NPI# 1699236299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699236299
Entity Type Individual
Full Name JONATHAN CUONG PHAM
Practice Address 1500 S Main St
Fort Worth
TX 76104-4917
Practice Telephone 8177028840
Mailing Telephone 8177028840
Enumeration Date 2019-03-27
Last Update Date 2019-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JONATHAN PHAM

NPI Name Taxonomy Address Enumeration
1295393411 Jonathan Anhduy Pham Optometrist 6851 Matlock Rd Ste 111, Arlington, TX 76002-3519 2019-06-03
1356855662 Jonathan Phong Pham Pharmacist 10404 27th Dr Se, Everett, WA 98208-4465 2017-11-22
1265031041 Jonathan Pham Pharmacist 2303 Boonville Rd, Bryan, TX 77808-2232 2020-10-22
1548825284 Jonathan Theodore Pham Student in an Organized Health Care Education/Training Program 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354-2804 2019-05-08
1750811659 Jonathan Pham Internal Medicine 30 N 1900 E Rm 4b319, Salt Lake City, UT 84132-0002 2017-06-14
1285021139 Jonathan Minh Pham Internal Medicine 2823 Fresno St, Fresno, CA 93721-1324 2015-04-17

Office Location

Street Address 1500 S MAIN ST
City FORT WORTH
State TX
Zip Code 76104-4917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518964634 Akber M Ashraf Internal Medicine 1500 S Main St, Fort Worth, TX 76104-4917 2005-07-05
1518567395 Jordan Loeffelholz Pediatrics 1500 S Main St, Fort Worth, TX 76104-4917 2020-10-29
1891305827 Sandra Bialose Nurse Practitioner 1500 S Main St, Fort Worth, TX 76104-4917 2020-08-04
1467060889 Melissa Godfrey Wood Nurse Practitioner 1500 S Main St, Fort Worth, TX 76104-4917 2020-07-22
1053929901 Brenton C Hall Pharmacist 1500 S Main St, Fort Worth, TX 76104-4941 2020-07-16
1952919144 Chinyere Lilian Nkwocha Pharmacist 1500 S Main St, Fort Worth, TX 76104-4917 2020-07-14
1033727227 Haley Leverett Pharmacist 1500 S Main St, Fort Worth, TX 76104-4917 2020-07-14
1447875760 Lauren Courtney Thompson Nurse Practitioner 1500 S Main St, Fort Worth, TX 76104-4917 2020-06-12
1356965883 Arjun Kulandaivelu Student in an Organized Health Care Education/Training Program 1500 S Main St, Fort Worth, TX 76104-4917 2020-06-01
1831710482 Oliver Taylor Family Medicine 1500 S Main St, Fort Worth, TX 76104-4941 2020-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
Find all providers in zip 76104

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922607373 Benjamin Allen Barrett Student in an Organized Health Care Education/Training Program 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 2020-10-17
1538766597 Billy Derek Huddleston Student in an Organized Health Care Education/Training Program 4661 Cool Ridge Ct, Fort Worth, TX 76133-3831 2020-10-02
1942828371 Ellener Harper Student in an Organized Health Care Education/Training Program 9232 Oldwest Trl, Fort Worth, TX 76131-3114 2020-07-13
1396374005 Mikel Robert Bell Student in an Organized Health Care Education/Training Program 855 Montgomery St Ste 257, Fort Worth, TX 76107-2553 2020-04-04
1750919171 William Thomas Cates Student in an Organized Health Care Education/Training Program 3248 W 7th St Apt 308, Fort Worth, TX 76107-2804 2020-03-31
1710514690 Javier Eduardo Ordonez Student in an Organized Health Care Education/Training Program 3512 Princess Victoria Ct, Fort Worth, TX 76137-6074 2020-03-23
1548896749 Eric Bash Student in an Organized Health Care Education/Training Program 6137 Obsidian Creek Dr, Fort Worth, TX 76179-1543 2020-03-19
1700417821 Abigail U Davis Student in an Organized Health Care Education/Training Program 5113 Glen Canyon Rd, Fort Worth, TX 76137-4104 2020-01-28
1699312439 Lacey Jane Arnett Student in an Organized Health Care Education/Training Program 3305 West Cantey St, Fort Worth, TX 76129-0001 2019-11-27
1699322396 Anastasia Davis Student in an Organized Health Care Education/Training Program 3628 Woodmoor Rd, Fort Worth, TX 76133-6336 2019-08-19
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76104

Improve Information

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Dataset Information

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.

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