MEDICARE: DIANE NHU-QUYNH DOAN

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	183500000X	Pharmacist	56798	TX

General Provider Information

NPI Number	:	1841895828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE NHU-QUYNH DOAN

Provider Business Mailing Address
First Line	:	1609 N MAIN ST
Second Line	:
City	:	TAYLOR
State	:	TX
Zip	:	76574-3008
Country	:	US
Telephone Number	:	512-352-5214
Fax Number	:

Provider Business Practice Location Address
First Line	:	1609 N MAIN ST
Second Line	:
City	:	TAYLOR
State	:	TX
Zip	:	76574-3008
Country	:	US
Telephone Number	:	512-352-5214
Fax Number	:

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

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	11/30/2020

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Directions to “ DIANE NHU-QUYNH DOAN ” Practice Location

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