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NPI Code Detail

MEDICARE: HAIYEN VO

MEDICARE:   HAIYEN  VO
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
1183500000XPharmacist59066TX

General Provider Information

NPI Number : 1821693755
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAIYEN VO
Provider Business Mailing Address
First Line : 255 MARINA BAY DR
Second Line :
City : CLEAR LAKE SHORES
State : TX
Zip : 77565-2671
Country : US
Telephone Number : 832-420-8818
Fax Number :
Provider Business Practice Location Address
First Line : 255 MARINA BAY DR
Second Line :
City : CLEAR LAKE SHORES
State : TX
Zip : 77565-2671
Country : US
Telephone Number : 281-538-7957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2020
Last Update Date : 11/30/2020

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Directions to “ HAIYEN VO ” Practice Location

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