Provider Demographics
NPI:1902299845
Name:HOANG, TRAM TERESA (FNP)
Entity Type:Individual
Prefix:
First Name:TRAM
Middle Name:TERESA
Last Name:HOANG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SPYGLASS CT
Mailing Address - Street 2:
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77064-4060
Mailing Address - Country:US
Mailing Address - Phone:713-451-0663
Mailing Address - Fax:
Practice Address - Street 1:15 SPYGLASS CT
Practice Address - Street 2:
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77064-4060
Practice Address - Country:US
Practice Address - Phone:713-451-0663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0814306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily