Individual provider · Type 1 NPI

Jessica Pham

Anesthesiologist Assistant · Waco, TX

NPI number 1417816505 Active

Practice location

100 Hillcrest Medical Blvd
Waco, TX 76712-8897

Fax (254) 202-5849

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice locations

  • 1 Dupont Cir NW Ste 600, Washington, DC 20036-1106 · (202) 758-2502

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000X789790902 (TX)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1417816505

Jessica Pham's National Provider Identifier is 1417816505, issued on Jan 15, 2026. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Waco, TX. The record was last updated on Aug 27, 2026.