Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 7255T | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 7255T | TX |
NPI | 1184889297 |
---|---|
Provider Name | Dr. Peter Hoang |
First Address | Beaumont, TX 77707-2553 |
Second Address | Beaumont, TX 77707-2553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 03/04/2019 |