Provider Demographics
NPI:1902914930
Name:HOANG, TUAN N (DC)
Entity Type:Individual
Prefix:DR
First Name:TUAN
Middle Name:N
Last Name:HOANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6988 WILCREST DR STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2626
Mailing Address - Country:US
Mailing Address - Phone:281-564-8909
Mailing Address - Fax:281-564-7019
Practice Address - Street 1:6988 WILCREST DR STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2626
Practice Address - Country:US
Practice Address - Phone:281-564-8909
Practice Address - Fax:281-564-7019
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142962301Medicaid
TX8S5640OtherBLUE CROSS BLUE SHIELD-TX
TX142962301Medicaid