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NPI Code Detail

MEDICARE: LIN DAI MD

MEDICARE: LIN DAI MD
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
1207Q00000XFamily Medicine PhysicianQ1970TX

General Provider Information

NPI Number : 1699034793
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIN DAI MD
Provider Business Mailing Address
First Line : PO BOX 66308
Second Line :
City : HOUSTON
State : TX
Zip : 77266-6308
Country : US
Telephone Number : 832-548-5000
Fax Number :
Provider Business Practice Location Address
First Line : 5602 LYONS AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77020-4721
Country : US
Telephone Number : 832-548-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2012
Last Update Date : 10/27/2015

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Directions to “ LIN DAI MD” Practice Location

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