Fortsmith Pham, O.D.

NPI #1285712612 in Colleyville, Texas

Provider Information

NPI Number: 1285712612
Entity Type: Individual
Name: Fortsmith Pham, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 2, 2006
Last Updated: Jul 17, 2019

Practice Location

Address: 5307 COLLEYVILLE BLVD STE 100
City: Colleyville
State: Texas
ZIP Code: 76034-5832
Phone: (817) 485-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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