Provider Demographics
NPI:1033162656
Name:DANG, HA NGOC (OD)
Entity Type:Individual
Prefix:MS
First Name:HA
Middle Name:NGOC
Last Name:DANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2750 HOLLY HALL ST
Mailing Address - Street 2:603
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-4109
Mailing Address - Country:US
Mailing Address - Phone:281-542-9350
Mailing Address - Fax:281-542-9355
Practice Address - Street 1:9025 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-3870
Practice Address - Country:US
Practice Address - Phone:281-542-9350
Practice Address - Fax:281-542-9355
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6504T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00752WMedicaid