MEDICARE: DR. HAN HOANG DANG M.D.

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	174400000X	Specialist	L6023	TX
2	207RN0300X	Nephrology Physician	L6023	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	:	1811929508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAN HOANG DANG M.D.

Provider Business Mailing Address
First Line	:	6624 FANNIN ST
Second Line	:	#1400
City	:	HOUSTON
State	:	TX
Zip	:	77030-2326
Country	:	US
Telephone Number	:	713-795-5511
Fax Number	:	832-553-6081

Provider Business Practice Location Address
First Line	:	7007 NORTH FWY
Second Line	:	#240
City	:	HOUSTON
State	:	TX
Zip	:	77076-1324
Country	:	US
Telephone Number	:	713-691-0107
Fax Number	:	832-553-6081

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	03/15/2011

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Directions to “ DR. HAN HOANG DANG M.D.” Practice Location

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