MEDICARE: THANH K. HOANG, M.D., P.A.

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
1	207Q00000X	Family Medicine Physician	J9885	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	45D1058181	OTHER	CLIA WAIVED CERTIFICATE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063783827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THANH K. HOANG, M.D., P.A.

Provider Business Mailing Address
First Line	:	11210 BELLAIRE BLVD STE 126A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2528
Country	:	US
Telephone Number	:	281-564-2900
Fax Number	:	281-564-0800

Provider Business Practice Location Address
First Line	:	11210 BELLAIRE BLVD STE 126A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2528
Country	:	US
Telephone Number	:	281-564-2900
Fax Number	:	281-564-0800

Authorized Official
Title or Position	:	PRESIDENT / MEDICAL DIRECTOR
Name	:	THANH KIM HOANG
Credential	:	MD
Telephone Number	:	281-564-2900

Provider Enumeration Date	:	01/25/2012
Last Update Date	:	03/31/2026

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