Individual ProviderLenga PhamRegistered NurseNursing Service ProvidersPractice Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986(972) 702-0300(940) 255-0623PECOS EnrollmentBased on the most recent information from CMS, provider Lenga Pham does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1538663497Provider TypeIndividualFull NamePham, LengaGenderFemaleSole ProprietorNoEnumeration Date3/23/2018Last Updated3/23/2018Contact InformationPractice LocationPractice Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986Phone(972) 702-0300FaxUnlisted FaxMailing LocationMailing Address2500 State Highway 121 Apt 1115, Euless, TX 76039-6027Phone(940) 255-0623FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense881742Texas