Provider Demographics
NPI:1275683138
Name:HO, CAN NGOC (DC)
Entity Type:Individual
Prefix:DR
First Name:CAN
Middle Name:NGOC
Last Name:HO
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 1:613 NORTH FWY
Mailing Address - Street 2:116
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-1726
Mailing Address - Country:US
Mailing Address - Phone:817-870-2005
Mailing Address - Fax:817-870-3667
Practice Address - Street 1:6615 JOHNS CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-3632
Practice Address - Country:US
Practice Address - Phone:817-870-2005
Practice Address - Fax:817-870-3667
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8300111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health