| Luan Q. Pho, M.D., P.A. | |
|
1105 Central Expy N Suite 260 Allen TX 75013-6104 | |
| (972) 747-4700 | |
| Not Available |
| Full Name | Luan Q. Pho, M.D., P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1105 Central Expy N, Allen, Texas |
| Authorized Official Name and Position | Luan Quoc Pho (PRESIDENT) |
| Authorized Official Contact | 9727474700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luan Q. Pho, M.D., P.A. 1105 Central Expy N Suite 260 Allen TX 75013-6104 | Luan Q. Pho, M.D., P.A. 1105 Central Expy N Suite 260 Allen TX 75013-6104 Ph: (972) 747-4700 |
| NPI Number | 1235205170 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 07/16/2007 |
| Medicare PECOS PAC ID | 4880917095 |
|---|---|
| Medicare Enrollment ID | O20141219000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235205170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K0361 (Texas) | Primary |
| Provider Name | Luan Q Pho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821080995 PECOS PAC ID: 7012810096 Enrollment ID: I20040128000568 |
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