Provider Demographics
NPI:1518958271
Name:TRUONG, HANS HOFFMAN (MD)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:HOFFMAN
Last Name:TRUONG
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 1:3010 PALMER WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-4081
Mailing Address - Country:US
Mailing Address - Phone:713-557-3431
Mailing Address - Fax:281-427-6663
Practice Address - Street 1:3010 PALMER WAY
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-4081
Practice Address - Country:US
Practice Address - Phone:713-557-3431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ55022085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131103709Medicaid
TX131103713Medicaid
TXP00621145OtherMEDICARE RR
TX131103712Medicaid
G14327Medicare UPIN
89681RMedicare ID - Type Unspecified
TXP00621145OtherMEDICARE RR
TX131103712Medicaid
8351B6Medicare ID - Type Unspecified
TX131103713Medicaid
TX8K5391Medicare PIN
TX8K5392Medicare PIN