ADRYENE ANH VU PHAM PA-C
NPI 1720174907
Physician Assistant - Surgical in Houston, TX

Q: What is Adryene Pham's NPI number?

The NPI number for Adryene Pham is 1720174907. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Adryene Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Adryene Pham was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 05, 2006PECOS Enrolled

2727 W HOLCOMBE BLVD, HOUSTON, TX 77025(713) 442-0000 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2021, Jun 17, 2021, Jan 27, 2017 (3 updates tracked since 2017).

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About Adryene Anh Vu Pham Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADRYENE ANH VU PHAM PA-C (NPI 1720174907) is an individual surgical provider in Houston, Texas, licensed in Texas (PA04194) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sugar Land.

NPPES Registry Identity

NPI1720174907

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameADRYENE ANH VU PHAMCredential: PA-C

Location Address2727 W HOLCOMBE BLVDHouston, TX 77025-1669

Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000

Phone(713) 442-0000

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 27, 20213 updates tracked since enumeration

NPPES CertifiedJuly 27, 2021

✔ NPI 1720174907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TX · PA04194

2727 W HOLCOMBE BLVD, Houston, TX 77025

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Secondary Practice Location 1

Location 111555 University BlvdSugar Land, TX 77478-3889 · Phone (713) 442-9100

Other Identifiers 2

Medicaid359563901TX

Medicaid359563902TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adryene Anh Vu Pham Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA E LEIF O.D.

Optometrist

2727 W HOLCOMBE BLVD, 4TH FLOOR, OPTOMETRY
HOUSTON, TX 77025

Harris County (713) 442-0000

MAHER DAAS MD

Internal Medicine (Pulmonary Disease)