Provider Demographics
NPI:1033313606
Name:EDWARDS, TU-QUYNH HOANG (MD)
Entity Type:Individual
Prefix:DR
First Name:TU-QUYNH
Middle Name:HOANG
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TU-QUYNH
Other - Middle Name:NGUYEN
Other - Last Name:HOANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:MAIL ROUTE 0561
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-5302
Mailing Address - Country:US
Mailing Address - Phone:409-772-2436
Mailing Address - Fax:409-772-9532
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:MAIL ROUTE 0561
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-5302
Practice Address - Country:US
Practice Address - Phone:409-772-2436
Practice Address - Fax:409-772-9532
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP3-0024416207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
948555097OtherMYUTMB 948555097-COMMERCIAL NUMBER