Provider Demographics
NPI:1730767690
Name:PHAM, VI HUNG (MD)
Entity type:Individual
Prefix:DR
First Name:VI
Middle Name:HUNG
Last Name:PHAM
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4040 LEGACY DR STE 201
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6748
Mailing Address - Country:US
Mailing Address - Phone:972-668-6705
Mailing Address - Fax:972-668-7308
Practice Address - Street 1:4040 LEGACY DR STE 201
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6748
Practice Address - Country:US
Practice Address - Phone:972-668-6705
Practice Address - Fax:972-668-7308
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU6048208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics