MEDICARE: THAO PHUONG HOANG FNP-C

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	163W00000X	Registered Nurse	1038449	TX
2	363LF0000X	Family Nurse Practitioner	1038449	TX

General Provider Information

NPI Number	:	1457215071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THAO PHUONG HOANG FNP-C

Provider Business Mailing Address
First Line	:	3540 E FM 528 RD
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22001 SOUTHWEST FWY STE 210
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-7002
Country	:	US
Telephone Number	:	281-972-0464
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	02/18/2026

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Directions to “ THAO PHUONG HOANG FNP-C” Practice Location

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