MEDICARE: METHEALTH PA

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1205292638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METHEALTH PA

Provider Business Mailing Address
First Line	:	4045 E BELKNAP ST STE 12
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76111-6637
Country	:	US
Telephone Number	:	817-759-2315
Fax Number	:	817-759-2316

Provider Business Practice Location Address
First Line	:	4045 E BELKNAP ST
Second Line	:	SUITE #12
City	:	HALTOM CITY
State	:	TX
Zip	:	76111-6638
Country	:	US
Telephone Number	:	817-759-2315
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MAI HOANG
Credential	:	MD
Telephone Number	:	817-759-2315

Provider Enumeration Date	:	01/14/2016
Last Update Date	:	02/11/2021

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Directions to “METHEALTH PA ” Practice Location

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