MEDICARE: DANIEL ANH-DUNG HUA DO

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	208000000X	Pediatrics Physician	L2943	TX
2	207P00000X	Emergency Medicine Physician	L2943	TX

General Provider Information

NPI Number	:	1568477339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ANH-DUNG HUA DO

Provider Business Mailing Address
First Line	:	2929 S HAMPTON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-3026
Country	:	US
Telephone Number	:	214-623-4431
Fax Number	:

Provider Business Practice Location Address
First Line	:	2929 S HAMPTON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-3026
Country	:	US
Telephone Number	:	214-623-4431
Fax Number	:

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

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	07/19/2024

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