Provider Demographics
NPI:1417203829
Name:HO, QUOC (DC)
Entity Type:Individual
Prefix:DR
First Name:QUOC
Middle Name:
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 1:4553 N LOOP 1604 W
Mailing Address - Street 2:SUITE 1107
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-1363
Mailing Address - Country:US
Mailing Address - Phone:210-674-1234
Mailing Address - Fax:
Practice Address - Street 1:4553 N LOOP 1604 W
Practice Address - Street 2:SUITE 1107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-1363
Practice Address - Country:US
Practice Address - Phone:210-674-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor