Provider Demographics
NPI:1760632087
Name:MAC, MYLINH THI (MD)
Entity Type:Individual
Prefix:DR
First Name:MYLINH
Middle Name:THI
Last Name:MAC
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9250 N 3RD ST
Mailing Address - Street 2:STE 4000
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2432
Mailing Address - Country:US
Mailing Address - Phone:214-288-4513
Mailing Address - Fax:
Practice Address - Street 1:1350 STARDUST ST
Practice Address - Street 2:SUITE D
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4264
Practice Address - Country:US
Practice Address - Phone:775-746-3400
Practice Address - Fax:775-746-3411
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN0236207ZP0102X
AZ48296207ZP0102X
NV15438207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology