MEDICARE: BICH HIEN THI DINH

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	R7438	TX

General Provider Information

NPI Number	:	1578958385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BICH HIEN THI DINH

Provider Business Mailing Address
First Line	:	4507 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4401
Country	:	US
Telephone Number	:	210-692-0234
Fax Number	:

Provider Business Practice Location Address
First Line	:	4507 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229
Country	:	US
Telephone Number	:	210-692-0234
Fax Number	:

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

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	06/28/2018

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Directions to “ BICH HIEN THI DINH ” Practice Location

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