MEDICARE: MARIE T DINH 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	207R00000X	Internal Medicine Physician	M6107	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	TXB109821	OTHER		PTAN

General Provider Information

NPI Number	:	1477518769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE T DINH M.D.

Provider Business Mailing Address
First Line	:	3308 PRESTON RD
Second Line	:	SUITE 350, PMB 133
City	:	PLANO
State	:	TX
Zip	:	75093-7453
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 W 15TH ST
Second Line	:	100
City	:	PLANO
State	:	TX
Zip	:	75093-5841
Country	:	US
Telephone Number	:	214-473-7671
Fax Number	:	214-473-7680

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

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	02/05/2014

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