Individual
THAO THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 N SHILOH RD, STE. 103, GARLAND, TX 75042-6610
(214) 703-9700
(214) 703-9811
Mailing address
PO BOX 453187, GARLAND, TX 75045-3187
(214) 703-9700
(214) 703-9811
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
L6667
TX
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
L6667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165716504
—
TX
Enumeration date
10/31/2005
Last updated
10/07/2025
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