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NPI Code Detail

MEDICARE: TRACY TRANG HOANG DDS

MEDICARE:   TRACY TRANG 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
11223G0001XGeneral Practice Dentistry25492TX
2122300000XDentist25492TX

General Provider Information

NPI Number : 1184945560
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY TRANG HOANG DDS
Provider Business Mailing Address
First Line : 2819 MASTIL RD
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75054-0048
Country : US
Telephone Number : 469-426-2477
Fax Number :
Provider Business Practice Location Address
First Line : 4200 SOUTH FWY STE 1550
Second Line :
City : FORT WORTH
State : TX
Zip : 76115-1419
Country : US
Telephone Number : 817-924-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2010
Last Update Date : 08/01/2024

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Directions to “ TRACY TRANG HOANG DDS” Practice Location

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