TRAVIS CONG PHAM MD
NPI 1730883588
Student in an Organized Health Care Education/Training Program in Odessa, TX
About Travis Cong Pham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS CONG PHAM MD (NPI 1730883588) is an individual student in an organized health care education/training program in Odessa, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Travis Cong Pham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ODESSA, TX 79763
ODESSA, TX 79763
ODESSA, TX 79763
ODESSA, TX 79763
ODESSA, TX 79763
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Travis Pham's NPI number?
The NPI number for Travis Pham is 1730883588. It was assigned to this individual provider in the NPPES registry on March 27, 2023.
Where is Travis Pham located?
Travis Pham practices at 701 W 5th St, Odessa, TX 79763. The listed phone number is (432) 620-1160.
What is Travis Pham's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Travis Pham enrolled in Medicare?
Yes. Travis Pham is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Travis Pham was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Travis Cong Pham, MD · NPI 1730883588
Student in an Organized Health Care Education/Training Program provider in Odessa, Texas. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1730883588 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 701 W 5TH ST, Odessa, TX 79763-4206
- **Phone:** (432) 620-1160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730883588) · Data from the CMS NPPES public registry.