Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 24477 | TX |
NPI | 1023083995 |
---|---|
Provider Name | Dr. Thuy Do |
First Address | Arlington, TX 76015 |
Second Address | Arlington, TX 76015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 28/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
019026343 | LICENSED DENTIST (01) | IL |