MR. PHONG TUAN DAM


Address: 12805 Cullen Blvd Ste E, Houston, TX 77047-3760
Phone: 3235098817

MR. PHONG TUAN DAM (NPI# 1750855300) 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) 1750855300
Entity Type Individual
Full Name MR. PHONG TUAN DAM
Credential NP
Practice Address 12805 Cullen Blvd Ste E
Houston
TX 77047-3760
Mailing Address 7575 Kirby Dr Apt 2410
Houston
TX 77030-4450
Practice Telephone 3235098817
Mailing Telephone 3235098817
Enumeration Date 2019-01-16
Last Update Date 2019-11-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine AP138415 TX Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner 208374 LA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1401 Foucher St, New Orleans, LA 701153593 5048977011 5048978394

Office Location

Street Address 12805 CULLEN BLVD STE E
City HOUSTON
State TX
Zip Code 77047-3760

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154636306 Oroki Family Health Clinic, Pa Clinic/Center 12805 Cullen Blvd Ste E, Houston, TX 77047 2010-08-12

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NPI Name Taxonomy Address Enumeration
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1093347486 Kayla A Johnson Nurse Practitioner 1540 Summer City Dr, Houston, TX 77047 2020-02-04
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1245895242 Chinedu Nwabuona Pharmacist 12627 City Village Lane, Houston, TX 77047 2019-05-06
1417422866 Adetola Adeosun Occupational Therapist 11931 Harristown Dr, Houston, TX 77047 2018-10-11
1730694787 City Park Care Center, LLC Skilled Nursing Facility 12262 Cityscape Avenue, Houston, TX 77047 2017-12-12
1033591151 Latina Baxter Doula 2814 Trinity Glen Ln., Houston, TX 77047 2015-06-25
1114336807 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 10200 Cullen Blvd, Houston, TX 77047 2014-08-06
1871915363 Latoya Mitchell Speech-Language Pathologist 3027 Westwood Manor Lane, Houston, TX 77047 2014-01-17
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871194670 Priscilla Tehrani Family Medicine 615 North Loop E Unit 100, Houston, TX 77022-5934 2020-11-06
1871100032 Umedly Family Medicine 708 Main St Fl 10, Houston, TX 77002-3246 2020-09-30
1255945010 Steven X Nguyen Inc Family Medicine 6112 Bellaire Blvd Ste D, Houston, TX 77081-4913 2020-08-31
1871105023 Health Right Choice Family Medicine 17550 W Little York Rd Ste 10, Houston, TX 77084-6321 2020-08-19
1275145625 Global Health Equity Pllc Family Medicine 1232 Westheimer Rd, Houston, TX 77006-2641 2020-08-18
1083223804 Patricia Nmukoso Enyi Family Medicine 2646 S Loop W Ste 270, Houston, TX 77054-5608 2020-07-28
1972121416 Community Medical Clinic LLC Family Medicine 10008 Bellaire Blvd, Suite 108, Houston, TX 77072 2020-07-10
1164048526 Clinica San Lucas Fuqua Family Medicine 11019 Fuqua St, Houston, TX 77089-2510 2020-06-22
1699397240 Urgent Health Solutions Woodlake Family Medicine 9668 Westheimer Rd Ste 600, Houston, TX 77063-3252 2020-05-16
1649899964 Lermnaim LLC Family Medicine 2919 Fm 1960 Rd Ste 120, Houston, TX 77073-2621 2020-04-16
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Competitor

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City HOUSTON
Zip Code 77047

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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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