Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 44663 | TX |
N | 111NI0900X | Internist | 44663 | TX |
N | 207R00000X | Internist | 70822 | AZ |
N | 111NI0900X | Internist | 70822 | AZ |
N | 207R00000X | Internist | Q1530 | TX |
N | 111NI0900X | Internist | Q1530 | TX |
N | 207RC0200X | Critical Care Medicine | 44663 | TX |
N | 207RC0200X | Critical Care Medicine | Q1530 | TX |
N | 207RP1001X | Pulmonary Disease | 44663 | TX |
Y | 207RP1001X | Pulmonary Disease | Q1530 | TX |
NPI | 1023278603 |
---|---|
Provider Name | Thien Toan Vo |
First Address | Amarillo, TX 79106-1708 |
Second Address | Amarillo, TX 79106-1786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 10/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10182012 | (05) | NM |
200541240 A | (05) | OK |
340420401 | (05) | TX |
340420402 | (05) | TX |