Provider Demographics
NPI:1467744227
Name:DANG, MINH-NGOC MIMI (MD)
Entity Type:Individual
Prefix:DR
First Name:MINH-NGOC MIMI
Middle Name:
Last Name:DANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MINH-NGOC MIMI
Other - Middle Name:
Other - Last Name:DANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6400 FANNIN ST STE 2070
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1541
Mailing Address - Country:US
Mailing Address - Phone:713-486-8000
Mailing Address - Fax:713-486-8088
Practice Address - Street 1:11920 ASTORIA BLVD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6097
Practice Address - Country:US
Practice Address - Phone:281-481-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL32732084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00106WOtherMDCR GRP PTAN
TXDB6392OtherRR MDCR GRP PTAN
TX0035TDOtherBCBSTX GRP PROV REC #
TX2J4420OtherMDCR GRP PTAN
TX153449704OtherMCDC GRP TPI #
TX2J4418OtherMDCR PROVIDER