Provider Demographics
NPI:1023203585
Name:TIN AUNG HLA,M.D.,P.A
Entity Type:Organization
Organization Name:TIN AUNG HLA,M.D.,P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-599-4086
Mailing Address - Street 1:12501 JUDSON RD
Mailing Address - Street 2:202
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-4103
Mailing Address - Country:US
Mailing Address - Phone:210-599-4086
Mailing Address - Fax:
Practice Address - Street 1:12501 JUDSON RD
Practice Address - Street 2:202
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-4103
Practice Address - Country:US
Practice Address - Phone:210-599-4086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00021TMedicare PIN