Provider Demographics
NPI:1447576087
Name:DOAN, CHRISTINA THU (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:THU
Last Name:DOAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4515 SETON CENTER PARKWAY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5785
Mailing Address - Country:US
Mailing Address - Phone:512-407-8686
Mailing Address - Fax:512-421-4489
Practice Address - Street 1:6001 KYLE PKWY
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6112
Practice Address - Country:US
Practice Address - Phone:512-504-5000
Practice Address - Fax:512-324-1984
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2015-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP5967207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX325924403Medicaid
TX325924404Medicaid
TX313693YLP2Medicare PIN
TX325924404Medicaid
TX313693YLP1Medicare PIN
TX313693YKY6Medicare PIN