MEDICARE: VILAY THONGKHAM DO

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	207R00000X	Internal Medicine Physician	M3766	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285775510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VILAY THONGKHAM DO

Provider Business Mailing Address
First Line	:	7160 NEWCASTLE PL
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-5045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7160 NEWCASTLE PL
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-5045
Country	:	US
Telephone Number	:	682-203-9107
Fax Number	:

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

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	08/25/2010

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Directions to “ VILAY THONGKHAM DO” Practice Location

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