Healthcare Provider Details

I. General information

NPI: 1083172456
Provider Name (Legal Business Name): FRANK T. HOANG DDS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5421 BASSWOOD BLVD STE 770
FT WORTH TX
76137-4475
US

IV. Provider business mailing address

5421 BASSWOOD BLVD STE 770
FT WORTH TX
76137-4475
US

V. Phone/Fax

Practice location:
  • Phone: 817-577-8831
  • Fax: 817-788-8816
Mailing address:
  • Phone: 817-577-8831
  • Fax: 817-788-8816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ASHLEY M CHAPA
Title or Position: FRONT OFFICE/ RDA
Credential:
Phone: 817-577-8831