Provider Demographics
NPI:1336541424
Name:THANH HO TAYLOR, D.O., P.A.
Entity Type:Organization
Organization Name:THANH HO TAYLOR, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THANH
Authorized Official - Middle Name:H
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-665-1389
Mailing Address - Street 1:21022 BARKER CANYON LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6900
Mailing Address - Country:US
Mailing Address - Phone:281-665-1389
Mailing Address - Fax:888-369-0336
Practice Address - Street 1:5423 E 5TH ST STE D
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2522
Practice Address - Country:US
Practice Address - Phone:281-665-1389
Practice Address - Fax:888-369-0336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-19
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty