Provider Demographics
NPI:1174533640
Name:HOANG, TUAN MINH (DC)
Entity type:Individual
Prefix:DR
First Name:TUAN
Middle Name:MINH
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 1:12600 SCARSDALE BLVD
Mailing Address - Street 2:SUITE #C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6270
Mailing Address - Country:US
Mailing Address - Phone:281-922-4290
Mailing Address - Fax:281-922-4291
Practice Address - Street 1:12600 SCARSDALE BLVD
Practice Address - Street 2:SUITE #C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6270
Practice Address - Country:US
Practice Address - Phone:281-922-4290
Practice Address - Fax:281-922-4291
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC06054443Medicaid
TXU59914Medicare UPIN
TXC06054443Medicaid