| Tad Group Llc | |
|
1233 S Main St Lumberton TX 77657-7390 | |
| (409) 466-7125 | |
| Not Available |
| Full Name | Tad Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1233 S Main St, Lumberton, Texas |
| Authorized Official Name and Position | Tuan Dao (MANAGER) |
| Authorized Official Contact | 4094667125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tad Group Llc 1233 S Main St Lumberton TX 77657-7390 Ph: (409) 466-7125 | Tad Group Llc 1233 S Main St Lumberton TX 77657-7390 Ph: (409) 466-7125 |
| NPI Number | 1013453265 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 01/12/2017 |
| Medicare PECOS PAC ID | 8628349917 |
|---|---|
| Medicare Enrollment ID | O20170804000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013453265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | P8349 (Texas) | Primary |
| Provider Name | Tuan A Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124349055 PECOS PAC ID: 4880824143 Enrollment ID: I20140306000243 |
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