Provider Demographics
NPI:1548446214
Name:DAO VAN DOAN, M.D. P.A.
Entity type:Organization
Organization Name:DAO VAN DOAN, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAO
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:979-826-3341
Mailing Address - Street 1:PO BOX 867
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:TX
Mailing Address - Zip Code:77445-0867
Mailing Address - Country:US
Mailing Address - Phone:979-826-3341
Mailing Address - Fax:979-826-8005
Practice Address - Street 1:808 6TH ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445-5402
Practice Address - Country:US
Practice Address - Phone:979-826-3341
Practice Address - Fax:979-826-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-12
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9180261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00CA66OtherMEDICARE
TX0922221-01Medicaid
TX0035QVMedicare PIN
TXC15290Medicare UPIN
TX00CA66OtherMEDICARE
TX8AJ952Medicare PIN
TX00CA66Medicare Oscar/Certification
TX0035QVMedicare Oscar/Certification