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General NPI Number Information
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NPI Number | 1346167764
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Entity Type | Organization
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Legal Business Name | LAC HOANG LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 16332 FM 529 RD STE D1
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City | HOUSTON
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State | TX
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Zip | 77095-1418
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Country | US
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Telephone | 713-437-7114
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Fax |
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Provider Business Mailing Address
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Address Line | 16332 FM 529 RD STE D1
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City | HOUSTON
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State | TX
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Zip | 77095-1418
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Country | US
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Telephone | 713-437-7114
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | HOANG PHAN
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Credential |
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Telephone | 713-437-7114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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