MEDICARE: DR. TUAN ANH HOANG 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	17282	TX

General Provider Information

NPI Number	:	1164697116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TUAN ANH HOANG DDS

Provider Business Mailing Address
First Line	:	13480 VETERANS MEMORIAL DR
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77014-1606
Country	:	US
Telephone Number	:	281-583-2650
Fax Number	:	281-583-2651

Provider Business Practice Location Address
First Line	:	13480 VETERANS MEMORIAL DR
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77014-1606
Country	:	US
Telephone Number	:	281-583-2650
Fax Number	:	281-583-2651

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

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	04/29/2008

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