Organization Active NPI

Thao T. Thach, Inc

  • Medical Specialty Clinic/Center
  • Garland, TX
National Provider Identifier
1437140431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
L6667 Issued in TX
Legal business name
THAO T. THACH, INC
Practice address
617 Clara Barton Blvd
#103
Garland, TX 75042-5756
Phone
(214) 703-9700
Fax
(214) 703-9702
NPI assigned
Oct 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thao Thach, M.D.NPI 1063403061
Title
Owner
Phone
(214) 703-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X L6667 TX Primary

Addresses

Primary practice location

617 Clara Barton Blvd
#103
Garland, TX 75042-5756

Mailing address

617 Clara Barton Blvd
#103
Garland, TX 75042-5756
Phone (214) 703-9700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437140431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CLARA BARTON BLVD",
            "address_2": "#103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425756",
            "telephone_number": "214-703-9700",
            "fax_number": "214-703-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 CLARA BARTON BLVD",
            "address_2": "#103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425756",
            "telephone_number": "214-703-9700",
            "fax_number": "214-703-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAO T. THACH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THACH",
        "authorized_official_first_name": "THAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-703-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L6667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.