MEDICARE: THU YA LIN D.M.D

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	122300000X	Dentist	24994	TX

General Provider Information

NPI Number	:	1033446075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THU YA LIN D.M.D

Provider Business Mailing Address
First Line	:	916 HARRIS AVE
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77506-4708
Country	:	US
Telephone Number	:	713-534-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	916 HARRIS AVE
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77506-4708
Country	:	US
Telephone Number	:	713-534-8800
Fax Number	:

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

Provider Enumeration Date	:	11/12/2009
Last Update Date	:	11/12/2009

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