Individual
DR. THANH T VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
L1489
TX
2085R0202X
Diagnostic Radiology Physician
Primary
L1489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144198508
—
TX
Enumeration date
12/22/2005
Last updated
02/05/2016
Update your record
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