Individual
DANHJOHN TAI DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 W HENDERSON ST, CLEBURNE, TX 76033-4906
(817) 760-4201
(817) 760-4202
Mailing address
110 W HENDERSON ST, CLEBURNE, TX 76033-4906
(817) 760-4201
(817) 760-4202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136833406
—
TX
Enumeration date
06/30/2005
Last updated
07/21/2022
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