Organization
THAO T. THACH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAO THACH M.D. (OWNER)
(214) 703-9700
Entity
Organization
Contact information
Practice address
617 CLARA BARTON BLVD, #103, GARLAND, TX 75042-5756
(214) 703-9700
(214) 703-9702
Mailing address
617 CLARA BARTON BLVD, #103, GARLAND, TX 75042-5756
(214) 703-9700
(214) 703-9702
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
L6667
TX
Other
Enumeration date
10/31/2005
Last updated
08/22/2020
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