MEDICARE: XUAN T TO

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	3747P1801X	Personal Care Attendant		NE

General Provider Information

NPI Number	:	1770417396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XUAN T TO

Provider Business Mailing Address
First Line	:	7130 ZAGROS CT
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516-5284
Country	:	US
Telephone Number	:	402-671-2088
Fax Number	:

Provider Business Practice Location Address
First Line	:	7130 ZAGROS CT
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516-5284
Country	:	US
Telephone Number	:	402-671-2088
Fax Number	:

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

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ XUAN T TO ” Practice Location

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