Provider Demographics
NPI:1467462994
Name:TRAN-NGUYEN, EMILY HOA (OD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:HOA
Last Name:TRAN-NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8306 N NAVARRO ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904
Mailing Address - Country:US
Mailing Address - Phone:361-573-4884
Mailing Address - Fax:361-570-0077
Practice Address - Street 1:8306 N NAVARRO ST
Practice Address - Street 2:SUITE B
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904
Practice Address - Country:US
Practice Address - Phone:361-573-4884
Practice Address - Fax:361-570-0077
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4885T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112392902Medicaid
TXU54464Medicare UPIN
TX112392902Medicaid