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NPI Code Detail

MEDICARE: NGOC ANH THU HO

MEDICARE: NGOC ANH THU HO
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
1133V00000XRegistered DietitianDT86041TX

General Provider Information

NPI Number : 1043865751
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGOC ANH THU HO
Provider Business Mailing Address
First Line : 2200 W LOWDEN ST APT 15
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-2810
Country : US
Telephone Number : 682-402-8190
Fax Number :
Provider Business Practice Location Address
First Line : 2200 W LOWDEN ST APT 15
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-2810
Country : US
Telephone Number : 682-402-8190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2019
Last Update Date : 08/08/2019

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Directions to “ NGOC ANH THU HO ” Practice Location

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