Provider Demographics
NPI:1083663033
Name:DO, THANH V (MD)
Entity Type:Individual
Prefix:
First Name:THANH
Middle Name:V
Last Name:DO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21015 CRYSTAL GREENS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8650
Mailing Address - Country:US
Mailing Address - Phone:832-578-6958
Mailing Address - Fax:281-599-1506
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:#216
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-496-1010
Practice Address - Fax:281-599-1506
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2013-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ5087207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00346948OtherRR MCARE
TX8M1457OtherBCBS
TX1490443-04Medicaid
TX149044305Medicaid
TX8K3100OtherBLUE CROSS BLUE SHIELD
TX8K3100OtherBLUE CROSS BLUE SHIELD
TXG15192Medicare UPIN
TX1490443-04Medicaid