Organization Active NPI

The Doan & Vo Clinic, P.a.

  • Primary Care Clinic/Center
  • Pasadena, TX
National Provider Identifier
1760609754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
L73557 Issued in TX
Legal business name
THE DOAN & VO CLINIC, P.A.
Practice address
5912 Spencer Hwy
Pasadena, TX 77505-1602
Phone
(281) 998-6038
Fax
(281) 487-1658
NPI assigned
Apr 19, 2007
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
Dr. Jimmy Dung Doan, M.D.NPI 1225042914
Title
President
Phone
(281) 998-6038

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
Primary Care Clinic/Center 261QP2300X L73557 TX Primary

Addresses

Primary practice location

5912 Spencer Hwy
Pasadena, TX 77505-1602

Mailing address

5912 Spencer Hwy
Pasadena, TX 77505-1602
Phone (281) 998-6038

Other identifiers 4

IdentifierTypeStateIssuer
172872701MedicaidTX
8K5140OtherTXBCBS IND#
173118401MedicaidTX
1225042914OtherTXIND NPI#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000864 TX Part B Supplier - Clinic/Group Practice 0244132264 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, TX

National Provider Directory

National Provider Directory

Locations

5413 Crenshaw Rd
Ste 333
Pasadena, TX 77505
Phone (832) 230-8721

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760609754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051602",
            "telephone_number": "281-998-6038",
            "fax_number": "281-487-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051602",
            "telephone_number": "281-998-6038",
            "fax_number": "281-487-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOAN & VO CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "DUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-998-6038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "L73557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172872701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND#",
            "identifier": "8K5140",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173118401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI#",
            "identifier": "1225042914",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.