Provider Demographics
NPI:1477313948
Name:HANG, HARDY
Entity Type:Individual
Prefix:
First Name:HARDY
Middle Name:
Last Name:HANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5608 E JAKE OLIVER LN
Mailing Address - Street 2:
Mailing Address - City:IOWA
Mailing Address - State:LA
Mailing Address - Zip Code:70647-5153
Mailing Address - Country:US
Mailing Address - Phone:713-732-8675
Mailing Address - Fax:
Practice Address - Street 1:5608 E JAKE OLIVER LN
Practice Address - Street 2:
Practice Address - City:IOWA
Practice Address - State:LA
Practice Address - Zip Code:70647-5153
Practice Address - Country:US
Practice Address - Phone:713-732-8675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program