Healthcare Provider Details

I. General information

NPI: 1104049329
Provider Name (Legal Business Name): HOA KIM HUU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3703 FM 2765 RD SUITE H
EL CAMPO TX
77437-6399
US

IV. Provider business mailing address

4707 LLANO LOOP
SUGAR LAND TX
77479-7084
US

V. Phone/Fax

Practice location:
  • Phone: 979-543-2229
  • Fax:
Mailing address:
  • Phone: 281-669-7707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22888
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: