MEDICARE: MRS. CHRISTINA D 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	363LF0000X	Family Nurse Practitioner	674921	TX

General Provider Information

NPI Number	:	1730166059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA D HOANG FNP-C

Provider Business Mailing Address
First Line	:	11452 SPACE CENTER BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3599
Country	:	US
Telephone Number	:	713-486-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	11452 SPACE CENTER BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3599
Country	:	US
Telephone Number	:	713-486-6200
Fax Number	:

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

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	04/27/2017

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