Provider Demographics
NPI:1164564696
Name:HO, LINDA M (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:HO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:M
Other - Last Name:WAKI HO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5733 MEADOWHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8556
Mailing Address - Country:US
Mailing Address - Phone:972-608-0086
Mailing Address - Fax:972-608-0089
Practice Address - Street 1:3901 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7738
Practice Address - Country:US
Practice Address - Phone:972-519-1530
Practice Address - Fax:972-519-1531
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD6922207V00000X
KY53735207V00000X
OH35.138094207V00000X
NJ25MA10907100207V00000X
CODR.0062255207V00000X
TXM3774207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193302001Medicaid
TX193302003Medicaid
TX193302002Medicaid
TX8BD721OtherBCBS
TX193302002Medicaid
HI0000BDXJCMedicare ID - Type Unspecified