Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 1914 | TX |
NPI | 1508883091 |
---|---|
Provider Name | Dr. Tuyen Thi Hoang |
First Address | Garland, TX 75046-2466 |
Second Address | Garland, TX 75040-4309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 11/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1537497 | (05) | LA |
212805001 | (05) | TX |
U69871 | (02) | LA |