Provider Demographics
NPI:1144268368
Name:DANG, HAU PHUNG (MD)
Entity type:Individual
Prefix:DR
First Name:HAU
Middle Name:PHUNG
Last Name:DANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-3323
Mailing Address - Country:US
Mailing Address - Phone:409-983-2033
Mailing Address - Fax:409-989-5041
Practice Address - Street 1:525 9TH AVE
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-3323
Practice Address - Country:US
Practice Address - Phone:409-983-2033
Practice Address - Fax:409-989-5041
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2261207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine