| Diana Pham, DMD | |
|
6300 West Loop S Ste 650, Bellaire, TX 77401-2997 | |
| (713) 457-3445 | |
| Not Available |
| Full Name | Diana Pham |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 6300 West Loop S Ste 650, Bellaire, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487057535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 63966 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 30421 (Texas) | Primary |
| Entity Name | Houston Area Community Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477795417 PECOS PAC ID: 6608977095 Enrollment ID: O20071115000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Pham, DMD 2513 Scarlett Trce, Pearland, TX 77584-4093 Ph: (949) 310-0973 | Diana Pham, DMD 6300 West Loop S Ste 650, Bellaire, TX 77401-2997 Ph: (713) 457-3445 |
Samantha Bousigues, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6300 West Loop S Ste 650, Bellaire, TX 77401 Phone: 713-663-7960 Fax: 713-663-6948 |
Soudabeh Elizabeth Kamali, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6300 West Loop S Ste 650, Bellaire, TX 77401 Phone: 713-663-7960 |
Dr. Hyun Suk Lee, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6300 West Loop S, Ste. 650, Bellaire, TX 77401 Phone: 713-457-3445 |
Dr. Shireesha Kichili, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 6300 West Loop South, Suite 650, Bellaire, TX 77401 Phone: 713-663-7960 |
Davin Odia, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6300 West Loop S Ste 650, Bellaire, TX 77401 Phone: 713-663-7960 Fax: 713-663-6948 |
Todd L Istre, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6300 West Loop S Ste 650, Bellaire, TX 77401 Phone: 713-663-7960 |
Dr. Claudia Ikeda Holt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6750 West Loop S Ste 400, Bellaire, TX 77401 Phone: 713-218-7811 Fax: 713-218-7833 |