Provider Demographics
NPI:1346528734
Name:HO, THUY T (PA)
Entity Type:Individual
Prefix:MRS
First Name:THUY
Middle Name:T
Last Name:HO
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:200 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-4358
Mailing Address - Country:US
Mailing Address - Phone:704-874-1904
Mailing Address - Fax:704-867-2134
Practice Address - Street 1:111 E THIRD AVE
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-4343
Practice Address - Country:US
Practice Address - Phone:704-874-3300
Practice Address - Fax:704-874-0065
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2019-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-04197363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant