MEDICARE: DR. KE HOA MAI D.P.M.

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	213E00000X	Podiatrist	1496	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	:	1518961077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KE HOA MAI D.P.M.

Provider Business Mailing Address
First Line	:	6850 N SHILOH RD
Second Line	:	STE C
City	:	GARLAND
State	:	TX
Zip	:	75044-2917
Country	:	US
Telephone Number	:	972-530-0552
Fax Number	:

Provider Business Practice Location Address
First Line	:	6850 N SHILOH RD
Second Line	:	STE C
City	:	GARLAND
State	:	TX
Zip	:	75044-2917
Country	:	US
Telephone Number	:	972-530-0552
Fax Number	:

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

Provider Enumeration Date	:	06/11/2005
Last Update Date	:	02/26/2010

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