Individual
LINA TAN DY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2715 OSLER DR, GRAND PRAIRIE, TX 75051-1051
(972) 206-2940
Mailing address
621 DONNA LN, BEDFORD, TX 76022-6603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E9615
TX
Other
Enumeration date
02/07/2010
Last updated
06/06/2012
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