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NPI Code Detail

MEDICARE: DAO VAN DOAN, M.D. P.A.

MEDICARE: DAO VAN DOAN, M.D. P.A.
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
1261QP2300XPrimary Care Clinic/CenterE9180TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100CA66OTHERTXMEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1548446214
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAO VAN DOAN, M.D. P.A.
Provider Business Mailing Address
First Line : PO BOX 867
Second Line :
City : HEMPSTEAD
State : TX
Zip : 77445-0867
Country : US
Telephone Number : 979-826-3341
Fax Number : 979-826-8005
Provider Business Practice Location Address
First Line : 808 6TH ST
Second Line :
City : HEMPSTEAD
State : TX
Zip : 77445-5402
Country : US
Telephone Number : 979-826-3341
Fax Number : 979-826-8005
Authorized Official
Title or Position : DIRECTOR
Name : DAO VAN DOAN
Credential : M.D.
Telephone Number : 979-826-3341
Provider Enumeration Date : 01/12/2008
Last Update Date : 04/01/2008

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