Provider Demographics
NPI:1699861153
Name:APHADO ORTHODONTICS, L.P.
Entity type:Organization
Organization Name:APHADO ORTHODONTICS, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANH
Authorized Official - Middle Name:DIEM-CHAU
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-255-6911
Mailing Address - Street 1:739 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4549
Mailing Address - Country:US
Mailing Address - Phone:281-255-6911
Mailing Address - Fax:281-220-6425
Practice Address - Street 1:739 JAMES ST
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4549
Practice Address - Country:US
Practice Address - Phone:281-255-6911
Practice Address - Fax:281-220-6425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225821223X0400X, 261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182372601Medicaid