Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 8300 | TX |
NPI | 1275683138 |
---|---|
Provider Name | Dr. Can Ngoc Ho |
First Address | Fort Worth, TX 76102-1726 |
Second Address | Arlington, TX 76016-3632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/07/2007 |