Provider Demographics
NPI:1043268105
Name:HO, MING TAO PETER (MD)
Entity Type:Individual
Prefix:
First Name:MING
Middle Name:TAO PETER
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3702 34TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410
Mailing Address - Country:US
Mailing Address - Phone:806-799-3944
Mailing Address - Fax:806-799-4238
Practice Address - Street 1:3702 34TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410
Practice Address - Country:US
Practice Address - Phone:806-799-3944
Practice Address - Fax:806-799-4238
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3010207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123523603Medicaid
TX123523605Medicaid
TX8R8200OtherBCBSTX PROVIDER NUMBER
TX123523603Medicaid
TX123523605Medicaid