Individual ProviderMarie T DinhInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4001 W 15th St, 100, Plano, TX 75093-5841(214) 473-7671PECOS EnrollmentThis provider is enrolled in PECOS as MARIE DINH.Based on the most recent information from CMS, provider Marie T Dinh is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1477518769Provider TypeIndividualFull NameDinh, Marie TCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/19/2006Last Updated2/5/2014Contact InformationPractice LocationPractice Address4001 W 15th St, 100, Plano, TX 75093-5841Phone(214) 473-7671Fax(214) 473-7680Mailing LocationMailing Address3308 Preston Rd, Suite 350, Pmb 133, Plano, TX 75093-7453PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseM6107TexasProvider IdentifiersIDDescriptionIssuerID1881443DescriptionMedicaidIssuerUnlistedTexasIDTXB109821DescriptionOtherIssuerPTAN