Provider Demographics
NPI:1205915535
Name:DOAN, ANH D (OD)
Entity type:Individual
Prefix:DR
First Name:ANH
Middle Name:D
Last Name:DOAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4725 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3988
Mailing Address - Country:US
Mailing Address - Phone:281-261-2647
Mailing Address - Fax:281-499-8456
Practice Address - Street 1:4725 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3988
Practice Address - Country:US
Practice Address - Phone:281-261-2647
Practice Address - Fax:281-499-8456
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4635TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81021QOtherBLUE CROSS BLUE SHIELD
TX8L3398Medicare PIN
TX8L3398Medicare PIN