Provider Demographics
NPI:1841843075
Name:MHPC DALLAS PLLC
Entity type:Organization
Organization Name:MHPC DALLAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOC
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:TRIEU
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:903-470-7770
Mailing Address - Street 1:PO BOX 801906
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75380-1906
Mailing Address - Country:US
Mailing Address - Phone:903-470-7770
Mailing Address - Fax:903-470-7688
Practice Address - Street 1:3080 N EASTMAN RD STE 101
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-7978
Practice Address - Country:US
Practice Address - Phone:903-470-7770
Practice Address - Fax:903-470-7688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty