Provider Demographics
NPI:1164533998
Name:DUNG HOANG ENTERPRISE
Entity Type:Organization
Organization Name:DUNG HOANG ENTERPRISE
Other - Org Name:CORPORATE HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:DUNG
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-771-1490
Mailing Address - Street 1:6901 CORPORATE DRIVE
Mailing Address - Street 2:SUITE #108
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-771-1490
Mailing Address - Fax:713-771-1492
Practice Address - Street 1:6901 CORPORATE DRIVE
Practice Address - Street 2:SUITE #108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:713-771-1490
Practice Address - Fax:713-771-1492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty