| Dr Elizabeth Pham, OD | |
|
1506 E Griffin Pkwy, Mission, TX 78572-2425 | |
| (956) 583-0202 | |
| (956) 583-0200 |
| Full Name | Dr Elizabeth Pham |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1506 E Griffin Pkwy, Mission, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255733580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8554 (Texas) | Primary |
| Provider Name | Aeg Texas Professional Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Pham, OD 1506 E Griffin Pkwy, Mission, TX 78572-2425 Ph: (956) 583-0202 | Dr Elizabeth Pham, OD 1506 E Griffin Pkwy, Mission, TX 78572-2425 Ph: (956) 583-0202 |
Brianna Lee Sooy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1506 E Griffin Pkwy, Mission, TX 78572 Phone: 956-583-0202 Fax: 956-583-0200 | |
Mr. Juan Jose Barajas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 S Bryan Rd, Ste 105, Mission, TX 78572 Phone: 956-581-6151 Fax: 956-581-4836 | |
Omer Amir, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1506 E Griffin Pkwy, Mission, TX 78572 Phone: 956-583-0202 | |
Salvador Alcantar, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1506 E Griffin Pkwy, Mission, TX 78572 Phone: 956-583-0202 Fax: 956-583-0200 | |
Juan J Barajas Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1300 S Bryan Rd Ste 105, Mission, TX 78572 Phone: 956-581-6151 Fax: 956-581-4836 | |
Shah Eye Center, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1506 E Griffin Pkwy, Mission, TX 78572 Phone: 956-583-0202 Fax: 956-583-0200 |