MEDICARE: DR. DOHUONG THI HOANG DDS

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	1223G0001X	General Practice Dentistry	21435	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144432600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOHUONG THI HOANG DDS

Provider Business Mailing Address
First Line	:	11315 FROST RIVER CT
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77377-8767
Country	:	US
Telephone Number	:	281-251-6229
Fax Number	:

Provider Business Practice Location Address
First Line	:	9344 JONES RD STE M
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-5362
Country	:	US
Telephone Number	:	812-970-3649
Fax Number	:	812-970-3621

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	06/03/2021

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