Provider Demographics
NPI:1760609754
Name:THE DOAN & VO CLINIC, P.A.
Entity Type:Organization
Organization Name:THE DOAN & VO CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:DUNG
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-998-6038
Mailing Address - Street 1:5912 SPENCER HWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-1602
Mailing Address - Country:US
Mailing Address - Phone:281-998-6038
Mailing Address - Fax:281-487-1658
Practice Address - Street 1:5912 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-1602
Practice Address - Country:US
Practice Address - Phone:281-998-6038
Practice Address - Fax:281-487-1658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL73557261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K5140OtherBCBS IND#
TX1225042914OtherIND NPI#
TX=========OtherTAX ID #
TXH97741Medicare UPIN
TX1225042914OtherIND NPI#
TX8B2458Medicare ID - Type UnspecifiedIND MEDICARE #