Provider Demographics
NPI:1144432600
Name:HOANG, DOHUONG THI (DDS)
Entity type:Individual
Prefix:DR
First Name:DOHUONG
Middle Name:THI
Last Name:HOANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11315 FROST RIVER CT
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-8767
Mailing Address - Country:US
Mailing Address - Phone:281-251-6229
Mailing Address - Fax:
Practice Address - Street 1:9344 JONES RD STE M
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5362
Practice Address - Country:US
Practice Address - Phone:812-970-3649
Practice Address - Fax:812-970-3621
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166835202Medicaid