Provider Demographics
NPI:1376506196
Name:DO, THUY DANH (MD)
Entity Type:Individual
Prefix:
First Name:THUY
Middle Name:DANH
Last Name:DO
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 1:1214 S NEW BRAUNFELS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-2207
Mailing Address - Country:US
Mailing Address - Phone:210-534-6225
Mailing Address - Fax:210-534-6106
Practice Address - Street 1:1214 S NEW BRAUNFELS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-2207
Practice Address - Country:US
Practice Address - Phone:210-534-6225
Practice Address - Fax:210-534-6106
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6325207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00AH86OtherBC/BS
TX138332501Medicaid
TX138332501Medicaid
C15286Medicare UPIN