Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | M1764 | TX |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | M1764 | TX |
NPI | 1235121294 |
---|---|
Provider Name | Thomas Edward Hong |
First Address | Houston, TX 77030-1527 |
Second Address | Houston, TX 77030-1527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 30/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
174572101 | (05) | TX |
I33687 | (02) | TX |