MEDICARE: THAO THACH M.D.

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
1	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	L6667	TX
2	207W00000X	Ophthalmology Physician	L6667	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063403061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THAO THACH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 453187
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75045-3187
Country	:	US
Telephone Number	:	214-703-9700
Fax Number	:	214-703-9811

Provider Business Practice Location Address
First Line	:	325 N SHILOH RD
Second Line	:	STE. 103
City	:	GARLAND
State	:	TX
Zip	:	75042-6610
Country	:	US
Telephone Number	:	214-703-9700
Fax Number	:	214-703-9811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	10/07/2025

Similar Medicare Providers

1275536229 — MEDFUND LLC
Practice Location Address:

325 N SHILOH RD
GARLAND, TX
75042-6610

Practice Phone: 972-494-6745
Practice Fax: 972-494-6788

1326035817 — GARLAND NURSING AND REHABILITATION LP
Practice Location Address:

321 N SHILOH RD
GARLAND, TX
75042-6610

Practice Phone: 972-276-9571
Practice Fax: 972-272-8660

1932155942 — DR. CARLA JEAN COLE D.O.
Practice Location Address:

323 N SHILOH RD
GARLAND, TX
75042-6610

Practice Phone: 972-272-2777
Practice Fax: 972-276-0932

1134343056 — THAO T THACH INC
Practice Location Address:

325 N SHILOH RD STE 103
GARLAND, TX
75042-6610

Practice Phone: 214-703-9700
Practice Fax:

1285894337 — A1 IMAGING OF GARLAND LLC
Practice Location Address:

325 N SHILOH RD
GARLAND, TX
75042-6610

Practice Phone: 972-494-6745
Practice Fax: 972-494-6788

1578830360 — REMINGTON HERITAGE HOLDINGS INC
Practice Location Address:

329 N SHILOH RD STE B
GARLAND, TX
75042-6610

Practice Phone: 972-276-7071
Practice Fax: 972-276-7074

Directions to “ THAO THACH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.