| Trung Dao Md, Pa | |
|
399 W Campbell Rd Suite #212 Richardson TX 75080-3606 | |
| (972) 234-4994 | |
| (972) 234-4412 |
| Full Name | Trung Dao Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 399 W Campbell Rd, Richardson, Texas |
| Authorized Official Name and Position | Trung Dao (OWNER) |
| Authorized Official Contact | 9722344994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trung Dao Md, Pa 399 W Campbell Rd Suite #212 Richardson TX 75080-3606 Ph: (972) 234-4994 | Trung Dao Md, Pa 399 W Campbell Rd Suite #212 Richardson TX 75080-3606 Ph: (972) 234-4994 |
| NPI Number | 1235311986 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 09/29/2015 |
| Medicare PECOS PAC ID | 7517903719 |
|---|---|
| Medicare Enrollment ID | O20050628000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235311986 | NPI | - | NPPES |
| 1798944-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K0013 (Oklahoma) | Primary |
| Provider Name | Trung N Dao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558354712 PECOS PAC ID: 5193790640 Enrollment ID: I20040830000213 |
| Provider Name | Janna K Chun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306482492 PECOS PAC ID: 6002247475 Enrollment ID: I20200519002236 |
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