Provider Demographics
NPI:1487983052
Name:HOANG, LINH VAN (RPH)
Entity type:Individual
Prefix:
First Name:LINH
Middle Name:VAN
Last Name:HOANG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14127 CYPRESS ROSEHILL RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6702
Mailing Address - Country:US
Mailing Address - Phone:281-256-0723
Mailing Address - Fax:
Practice Address - Street 1:14127 CYPRESS ROSEHILL RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6702
Practice Address - Country:US
Practice Address - Phone:281-256-0723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist