Provider Demographics
NPI:1477789600
Name:HOANG, TRACY TRAN (DO)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:TRAN
Last Name:HOANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5431 BARKER CYPRESS RD STE 500
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1995
Mailing Address - Country:US
Mailing Address - Phone:713-955-4550
Mailing Address - Fax:713-955-4641
Practice Address - Street 1:5431 BARKER CYPRESS RD STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1995
Practice Address - Country:US
Practice Address - Phone:713-955-4550
Practice Address - Fax:713-955-4641
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6356207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB134448Medicare PIN