Provider Demographics
NPI:1447736475
Name:DINH, HANH THI (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:HANH
Middle Name:THI
Last Name:DINH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5308 N TARRANT PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-6293
Mailing Address - Country:US
Mailing Address - Phone:817-993-6889
Mailing Address - Fax:833-317-1682
Practice Address - Street 1:5308 N TARRANT PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-6293
Practice Address - Country:US
Practice Address - Phone:817-993-6889
Practice Address - Fax:833-317-1682
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11943363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant