Healthcare Provider Details

I. General information

NPI: 1235121294
Provider Name (Legal Business Name): THOMAS EDWARD HONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 FANNIN ST STE 801
HOUSTON TX
77004-5870
US

IV. Provider business mailing address

5115 FANNIN ST STE 801
HOUSTON TX
77004-5870
US

V. Phone/Fax

Practice location:
  • Phone: 713-790-0841
  • Fax: 713-790-9663
Mailing address:
  • Phone: 713-790-0841
  • Fax: 713-790-9663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberM1764
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberM1764
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: