MEDICARE: DR. HOA KIM HUU DDS

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	1223G0001X	General Practice Dentistry	22888	TX

General Provider Information

NPI Number	:	1104049329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOA KIM HUU DDS

Provider Business Mailing Address
First Line	:	4707 LLANO LOOP
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7084
Country	:	US
Telephone Number	:	281-669-7707
Fax Number	:

Provider Business Practice Location Address
First Line	:	3703 FM 2765 RD
Second Line	:	SUITE H
City	:	EL CAMPO
State	:	TX
Zip	:	77437-6399
Country	:	US
Telephone Number	:	979-543-2229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	10/24/2022

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