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45D0879255 CLIA NUMBER - LUAN Q PHO MD PA

Laboratory Demographics

CLIA Number: 45D0879255

Facility Name: LUAN Q PHO MD PA

Facility Address:
1105 NORTH CENTRAL EXPRESSWAY SUITE 260
ALLEN, TX
ZIP 75013
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Facility Phone Number: 972 747-4700

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1821080995

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 45D0879255
LAB Type Community Clinic
Facility Name LUAN Q PHO MD PA
Street 1105 NORTH CENTRAL EXPRESSWAY SUITE 260
City ALLEN
State TX
ZIP 75013
Phone 972 747-4700
CertificateType 4
CertificateEffectiveDate 11/15/2023
CertificateExpirationDate 11/14/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024