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NPI Code Detail

MEDICARE: DR. TRUNG VAN HA MD

MEDICARE: DR. TRUNG VAN HA 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
1208VP0014XInterventional Pain Medicine PhysicianQ3883TX

General Provider Information

NPI Number : 1780936971
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRUNG VAN HA MD
Provider Business Mailing Address
First Line : 4441 W AIRPORT FWY STE 215
Second Line :
City : IRVING
State : TX
Zip : 75062-5959
Country : US
Telephone Number : 469-913-6136
Fax Number : 877-559-7679
Provider Business Practice Location Address
First Line : 4441 W AIRPORT FWY STE 215
Second Line :
City : IRVING
State : TX
Zip : 75062-5959
Country : US
Telephone Number : 469-913-6136
Fax Number : 877-559-7679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2012
Last Update Date : 07/03/2024

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