IndividualActive
Augustine Pham, PA-C
NPI 1922498625 · Medical Physician Assistant · Oklahoma City, OK
Provider details
- NPI number
- 1922498625
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- APA2479 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone: (405) 691-5208
Approximate (ZIP-level) locationGet directions
Mailing address
11601 S Western Ave
Oklahoma City, OK 73170-5823
Registry dates
- Enumerated
- 2015-02-02
- Last updated
- 2015-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.