| Annam The Ninth Lp | |
|
2704 N Galloway Ave Ste 101 Mesquite TX 75150-6379 | |
| (972) 288-3376 | |
| (972) 288-3377 |
| Full Name | Annam The Ninth Lp |
|---|---|
| Speciality | Dermatology |
| Location | 2704 N Galloway Ave Ste 101, Mesquite, Texas |
| Authorized Official Name and Position | Tinh Le (GENERAL PARTNER) |
| Authorized Official Contact | 8165291525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annam The Ninth Lp 1324 N Galloway Ave Suite 106 Mesquite TX 75149-2440 Ph: (816) 529-1525 | Annam The Ninth Lp 2704 N Galloway Ave Ste 101 Mesquite TX 75150-6379 Ph: (972) 288-3376 |
| NPI Number | 1619387842 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619387842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N4546 (Texas) | Secondary |
| 207N00000X | Dermatology | N4546 (Texas) | Primary |
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