MEDICARE: JOSEPH DANG MD, PA

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	208100000X	Physical Medicine & Rehabilitation Physician	J9485	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1497850416	OTHER	TX	NPI

General Provider Information

NPI Number	:	1871921031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH DANG MD, PA

Provider Business Mailing Address
First Line	:	1355 W GRAY ST
Second Line	:	STE B
City	:	HOUSTON
State	:	TX
Zip	:	77019-4019
Country	:	US
Telephone Number	:	713-522-5111
Fax Number	:	713-522-6111

Provider Business Practice Location Address
First Line	:	1355 W GRAY ST
Second Line	:	STE B
City	:	HOUSTON
State	:	TX
Zip	:	77019-4019
Country	:	US
Telephone Number	:	713-522-5111
Fax Number	:	713-522-6111

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	JOSEPH DANG
Credential	:	MD
Telephone Number	:	713-417-0001

Provider Enumeration Date	:	10/28/2013
Last Update Date	:	11/04/2013

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