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NPI Code Detail

MEDICARE: LINH HOANG A.G.N.P

MEDICARE:   LINH  HOANG  A.G.N.P
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
1363LA2200XAdult Health Nurse PractitionerAP130579TX

General Provider Information

NPI Number : 1477001311
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINH HOANG A.G.N.P
Provider Business Mailing Address
First Line : 3475 COLLINS BLVD
Second Line :
City : GARLAND
State : TX
Zip : 75044-3621
Country : US
Telephone Number : 314-743-9600
Fax Number :
Provider Business Practice Location Address
First Line : 3475 COLLINS BLVD
Second Line :
City : GARLAND
State : TX
Zip : 75044-3621
Country : US
Telephone Number : 314-743-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2016
Last Update Date : 09/20/2016

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Directions to “ LINH HOANG A.G.N.P” Practice Location

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