Thach, Thao

Thach, Thao is an individual health care provider with primary practice located at 325 N Shiloh Rd Ste. 103, Garland TX 75042-6610. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Glaucoma Specialist is her primary health care specialty. Thach, Thao can be contacted via phone (214) 703-9700.

Contact Information

Primary practice address
325 N Shiloh Rd Ste. 103 Garland TX 75042-6610
Phone: (214) 703-9700
Fax: (214) 703-9811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X L6667 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L6667 Texas

Profile Details

NPI number 1063403061
LBN Legal business name Thach, Thao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063403061 NPPES
Texas MEDICAID 165716504

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