MEDICARE: HIEU HA P.A.

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	363A00000X	Physician Assistant	PA03487	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00470292	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8N8790	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1376570671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIEU HA P.A.

Provider Business Mailing Address
First Line	:	5505 WEST LOOP S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2206
Country	:	US
Telephone Number	:	713-441-3560
Fax Number	:	713-790-2054

Provider Business Practice Location Address
First Line	:	5505 WEST LOOP S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2206
Country	:	US
Telephone Number	:	713-441-3560
Fax Number	:	713-790-2054

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	10/17/2025

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Directions to “ HIEU HA P.A.” Practice Location

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