Provider Demographics
NPI:1730535097
Name:LAM, HANG TUYET (OD)
Entity type:Individual
Prefix:DR
First Name:HANG
Middle Name:TUYET
Last Name:LAM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2956 INTERSTATE 45 N STE 700B
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77303-7903
Mailing Address - Country:US
Mailing Address - Phone:936-267-0190
Mailing Address - Fax:713-589-8554
Practice Address - Street 1:2956 INTERSTATE 45 N STE 700B
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77303-7903
Practice Address - Country:US
Practice Address - Phone:936-267-0190
Practice Address - Fax:713-589-8554
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9022TG152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400154111Medicare PIN