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NPI Code Detail

MEDICARE: KEVIN DANG MD

MEDICARE: KEVIN DANG MD
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
1207L00000XAnesthesiology PhysicianS0444TX
2207LP2900XPain Medicine (Anesthesiology) PhysicianS0444TX
3208VP0000XPain Medicine PhysicianS0444TX
4208VP0014XInterventional Pain Medicine PhysicianS0444TX

General Provider Information

NPI Number : 1760802771
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN DANG MD
Provider Business Mailing Address
First Line : 1000 LIPSCOMB ST STE 110
Second Line :
City : FT WORTH
State : TX
Zip : 76104-3181
Country : US
Telephone Number : 817-348-8600
Fax Number : 817-348-8602
Provider Business Practice Location Address
First Line : 1000 LIPSCOMB ST STE 110
Second Line :
City : FT WORTH
State : TX
Zip : 76104-3181
Country : US
Telephone Number : 817-348-8600
Fax Number : 817-348-8602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2014
Last Update Date : 03/11/2019

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Directions to “ KEVIN DANG MD” Practice Location

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