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NPI Code Detail

MEDICARE: PAUL HOANG D.O.

MEDICARE:   PAUL  HOANG  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0000XPain Medicine PhysicianK3239TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043357460
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL HOANG D.O.
Provider Business Mailing Address
First Line : 115 MEDICAL DR
Second Line : SUITE 105
City : VICTORIA
State : TX
Zip : 77904-3102
Country : US
Telephone Number : 361-575-2882
Fax Number : 361-574-9710
Provider Business Practice Location Address
First Line : 115 MEDICAL DR
Second Line : SUITE 105
City : VICTORIA
State : TX
Zip : 77904-3102
Country : US
Telephone Number : 361-575-2882
Fax Number : 361-574-9710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 10/04/2010

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Directions to “ PAUL HOANG D.O.” Practice Location

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