# TCA PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861784753
- **Authorized official:** DANY KIN MOON QUAN D.O. (MEMBER)
- **Authorized official phone:** (602) 388-1180

## Contact information

- **Practice address:** 3217 E SHEA BLVD, 441, PHOENIX, AZ 85028-3340
- **Practice address phone:** (602) 388-1180
- **Practice address fax:** (602) 388-1180
- **Mailing address:** 3217 E SHEA BLVD, 441, PHOENIX, AZ 85028-3340
- **Mailing address phone:** (602) 388-1180
- **Mailing address fax:** (602) 388-1180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | 4447 | AZ | Yes |

## Other

- **Enumeration date:** 05/10/2011
- **Last updated:** 01/28/2014