Provider Demographics
NPI:1073525390
Name:DOAN, JEFF HUNG (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:HUNG
Last Name:DOAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 ANCHOR BAY CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8179
Mailing Address - Country:US
Mailing Address - Phone:713-436-6419
Mailing Address - Fax:
Practice Address - Street 1:2715 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9217
Practice Address - Country:US
Practice Address - Phone:713-654-7770
Practice Address - Fax:713-654-7703
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8130OtherLICENSE
TX1911877Medicaid
TX8K1678Medicare PIN