MEDICARE: BRYNA HOANG

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	101Y00000X	Counselor	90832	TX

General Provider Information

NPI Number	:	1962118307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYNA HOANG

Provider Business Mailing Address
First Line	:	12148 JOLLYVILLE RD. 1406
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-7277
Country	:	US
Telephone Number	:	713-702-5385
Fax Number	:

Provider Business Practice Location Address
First Line	:	13706 RESEARCH BLVD STE 114
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-2318
Country	:	US
Telephone Number	:	512-200-4295
Fax Number	:

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

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	06/26/2023

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