Individual
KY VIET DONG QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
205 WOODHEW DR STE 220205, WACO, TX 76712-6689
(254) 245-9175
Mailing address
PO BOX 11538, KILLEEN, TX 76547-1538
(254) 245-9178
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
V1589
TX
Other
Enumeration date
03/23/2019
Last updated
01/20/2025
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