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Individual

DR. HA CHIEU DO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 HOSPITAL PKWY, BOX 62, BEDFORD, TX 76022-6913
(817) 684-2708
(817) 685-4579
Mailing address
PO BOX 910042, DALLAS, TX 75391-0042
(972) 788-1962

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M0705
TX
208M00000X
Hospitalist Physician
M0705
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1762189-01
TX
05
176218902
TX
01
8F3314
BCBS
TX
01
8M7953
BCBS
TX
01
P00251277
MEDICARE RAILROAD
TX
01
P00333364
RAILROAD MEDICARE
TX
Enumeration date
05/26/2006
Last updated
07/20/2011
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