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NPI Code Detail

MEDICARE: ENDONEURO AT HOME PLLC

MEDICARE: ENDONEURO AT HOME PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1043035785
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDONEURO AT HOME PLLC
Provider Business Mailing Address
First Line : 6275 W PLANO PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-4943
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6275 W PLANO PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-4943
Country : US
Telephone Number : 562-334-7006
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : VINH TUAN MAI
Credential : MD
Telephone Number : 562-334-7006
Provider Enumeration Date : 11/18/2024
Last Update Date : 12/15/2025

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Directions to “ENDONEURO AT HOME PLLC ” Practice Location

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