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Individual

QUAN T DANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 E 15TH ST, AUSTIN, TX 78701
(512) 324-1000
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8020
(972) 234-0813

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K5885
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
K5885
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044921702
TX
05
044921709
TX
05
044921710
TX
01
8R7682
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/19/2006
Last updated
08/13/2018
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