Provider Demographics
NPI:1164503173
Name:DANG, THUYHONG THI (OD)
Entity type:Individual
Prefix:
First Name:THUYHONG
Middle Name:THI
Last Name:DANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5647 SAN FELIPE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-2604
Mailing Address - Country:US
Mailing Address - Phone:713-569-8020
Mailing Address - Fax:361-575-6767
Practice Address - Street 1:8806 N NAVARRO ST STE 300
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1560
Practice Address - Country:US
Practice Address - Phone:361-575-6766
Practice Address - Fax:361-575-6767
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6207T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX47771OtherDAVIS VISION
TX53FCOtherBLUE CROSS BLUE SHIELD OF
TX80804QOtherBLUE CROSS BLUE SHIELD OF
TX1603821-01Medicaid
TX17845OtherSPECTERA/ UNITED HEALTHCA
TX06-1687071OtherSUPERIOR VISION
TX1603839-01Medicaid
TX06-1687071OtherSUPERIOR VISION
TX8A8688Medicare ID - Type UnspecifiedINDIVIDUAL #