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NPI Code Detail

MEDICARE: VIVIAN HO

MEDICARE:   VIVIAN  HO
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
1183500000XPharmacist59631TX

General Provider Information

NPI Number : 1679179824
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN HO
Provider Business Mailing Address
First Line : 14041 NOEL RD
Second Line :
City : DALLAS
State : TX
Zip : 75240-7310
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14041 NOEL RD
Second Line :
City : DALLAS
State : TX
Zip : 75240-7310
Country : US
Telephone Number : 972-387-8664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2020
Last Update Date : 12/11/2020

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Directions to “ VIVIAN HO ” Practice Location

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