Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 0025782 | TX |
Y | 213EG0000X | General Practice | 0025782 | TX |
NPI | 1003120627 |
---|---|
Provider Name | Austin Minh Hoang |
First Address | Dallas, TX 75206-1203 |
Second Address | Irving, TX 75063-7512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2010 |
Last Update Date | 06/08/2010 |