Provider Demographics
NPI:1467468918
Name:HOANG, NHAN LUONG (OD)
Entity Type:Individual
Prefix:
First Name:NHAN
Middle Name:LUONG
Last Name:HOANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10603 FUQUA ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2403
Mailing Address - Country:US
Mailing Address - Phone:713-947-8718
Mailing Address - Fax:713-715-6636
Practice Address - Street 1:10603 FUQUA ST
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2403
Practice Address - Country:US
Practice Address - Phone:713-947-8718
Practice Address - Fax:713-715-6636
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6440TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist