Healthcare Provider Details

I. General information

NPI: 1548446214
Provider Name (Legal Business Name): DAO VAN DOAN, M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2008
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 6TH ST
HEMPSTEAD TX
77445-5402
US

IV. Provider business mailing address

PO BOX 867
HEMPSTEAD TX
77445-0867
US

V. Phone/Fax

Practice location:
  • Phone: 979-826-3341
  • Fax: 979-826-8005
Mailing address:
  • Phone: 979-826-3341
  • Fax: 979-826-8005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberE9180
License Number StateTX

VIII. Authorized Official

Name: DAO VAN DOAN
Title or Position: DIRECTOR
Credential: M.D.
Phone: 979-826-3341