Organization
THANH VAN DO, M. D., P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH VAN DO M. D. (PHYSICIAN/DIRECTOR)
(832) 578-6958
Entity
Organization
Contact information
Practice address
12121 RICHMOND AVE, SUITE # 216, HOUSTON, TX 77082-2432
(281) 496-1010
(281) 599-1506
Mailing address
21015 CRYSTAL GREENS DR, KATY, TX 77450-8650
(832) 578-6958
(281) 599-1506
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
J5087
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067KP
BLUE CROSS BLUE SHIELD
TX
05
—
1490443-04
—
TX
Enumeration date
08/21/2006
Last updated
02/09/2015
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