MEDICARE: ANH HEALTHCARE PA

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	261QH0100X	Health Service Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	L9939	OTHER	TX	MEDICAL LIC

General Provider Information

NPI Number	:	1376737700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANH HEALTHCARE PA

Provider Business Mailing Address
First Line	:	12200 PARK CENTRAL DR
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75251-2124
Country	:	US
Telephone Number	:	972-701-0199
Fax Number	:	972-701-0201

Provider Business Practice Location Address
First Line	:	12200 PARK CENTRAL DRIVE
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75251-2124
Country	:	US
Telephone Number	:	972-701-0199
Fax Number	:	972-701-0201

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	MR. LOC HOANG TRIEU
Credential	:
Telephone Number	:	972-701-0199

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	03/20/2014

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Directions to “ANH HEALTHCARE PA ” Practice Location

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