THANH JOHN VAN MD PA
Ambulatory Health at Hyde Park Blvd, Houston, TX

License number
Texas L1488
Category
Ambulatory Health
Type
Oncology, Radiation
Owner
Name: DR. THANH JOHN VAN M.D.
Title: PRESIDENT
Phone: (281) 579-0061
Address
Address
1415 Hyde Park Blvd UNIT C, Houston, TX 77006
National Provider ID: 1174610786
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THANH JOHN VAN, M.D., PA

1415 Hyde Park Blvd UNIT C, Houston, TX 77006

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Thanh John Van, M.D., PA
Registration:
Nov 17, 2005
State ID:
0800572190
Business type:
Professional Association
President , Treasurer , Secretary, Director, Member, Vice-President:
Thanh John President , Treasurer , Secretary, Director, Member, Vice-President, inactive
TIN:
32035294043

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