Provider Demographics
NPI:1346874831
Name:QUACH, AN TANH (DPT)
Entity Type:Individual
Prefix:
First Name:AN
Middle Name:TANH
Last Name:QUACH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:ANDREW
Other - Middle Name:
Other - Last Name:QUACH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-541-5492
Mailing Address - Fax:
Practice Address - Street 1:7777 WARREN PKWY STE 380
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6549
Practice Address - Country:US
Practice Address - Phone:723-774-1111
Practice Address - Fax:972-377-4148
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13277402251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic