Individual provider · Type 1 NPI

Jennifer Pham

Medical Physician Assistant · Arlington, TX

NPI number 1992580120 Active

Practice location

3301 Matlock Rd
Arlington, TX 76015-2908

Mailing address

5501 Coronation Dr
Arlington, TX 76017-4969

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA19424 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1992580120

Jennifer Pham's National Provider Identifier is 1992580120, issued on Aug 28, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Arlington, TX. The record was last updated on Aug 20, 2025.