Individual
MR. DAT PHUOC HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, PA
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-6310
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
(214) 590-6310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9071
TX
111N00000X
Chiropractor
X010807
NY
363A00000X
Physician Assistant
Primary
PA07215
TX
363AM0700X
Medical Physician Assistant
011839
NY
Other
Enumeration date
07/17/2006
Last updated
01/28/2013
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