Provider Demographics
NPI:1376737700
Name:ANH HEALTHCARE PA
Entity Type:Organization
Organization Name:ANH HEALTHCARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOC
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:TRIEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-701-0199
Mailing Address - Street 1:12200 PARK CENTRAL DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-2124
Mailing Address - Country:US
Mailing Address - Phone:972-701-0199
Mailing Address - Fax:972-701-0201
Practice Address - Street 1:12200 PARK CENTRAL DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2124
Practice Address - Country:US
Practice Address - Phone:972-701-0199
Practice Address - Fax:972-701-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL9939OtherMEDICAL LIC
I18200Medicare UPIN