Provider Demographics
NPI:1477810877
Name:DAO, HUNG TRONG (MD)
Entity Type:Individual
Prefix:MR
First Name:HUNG
Middle Name:TRONG
Last Name:DAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 10TH STREET
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77320-4721
Mailing Address - Country:US
Mailing Address - Phone:936-291-9172
Mailing Address - Fax:936-291-7156
Practice Address - Street 1:829 10TH STREET
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77320-4721
Practice Address - Country:US
Practice Address - Phone:936-291-9172
Practice Address - Fax:936-291-7156
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1286208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice