Hieu T Phan Pc

NPI 1043540305 - Dentist - 1223G0001X

NPI Details
NPI 1043540305
Enumeration Date 01/10/2010
Last Updated 07/19/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name HIEU TAN HIEU
Position PRESIDENT
Phone (972) 870-5282
Fax
Practice Location
1100 W PIONEER DR
IRVING TX, 75061-7213, US
Phone (972) 870-5282
Fax
Business Location
1100 W PIONEER DR
IRVING TX, 75061-7213, US
Phone (972) 870-5282
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 23356
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According to our database, Hieu T Phan Pc NPI is 1043540305, taxonomy code is 1223G0001X and license number is 23356, license state is located at Texas. Hieu T Phan Pc physically located at 1100 W Pioneer Dr, Irving TX, 75061-7213. NPI Number 1033115704 has the healthcare provider type.

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1043540305 NPI number is provided on an as is basis without warranty of any kind. 1043540305 is maintained by the National Plan & Provider Enumeration System. The contents of Hieu T Phan Pc are for informational purposes only.