Provider Demographics
NPI:1801449442
Name:DOAN, AN NHU (DO)
Entity type:Individual
Prefix:
First Name:AN
Middle Name:NHU
Last Name:DOAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11255 GARLAND RD STE 1130
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-2573
Mailing Address - Country:US
Mailing Address - Phone:972-682-5757
Mailing Address - Fax:903-771-2849
Practice Address - Street 1:11255 GARLAND RD STE 1130
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-2573
Practice Address - Country:US
Practice Address - Phone:972-682-5757
Practice Address - Fax:972-682-6611
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5550207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine