Provider Demographics
NPI:1528396751
Name:NGO, THIEN-TRANG HOANG (PHARMD)
Entity Type:Individual
Prefix:
First Name:THIEN-TRANG
Middle Name:HOANG
Last Name:NGO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18535 CHAMPION FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3991
Mailing Address - Country:US
Mailing Address - Phone:281-370-4961
Mailing Address - Fax:281-370-1927
Practice Address - Street 1:18535 CHAMPION FOREST DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3991
Practice Address - Country:US
Practice Address - Phone:281-370-4961
Practice Address - Fax:281-370-1927
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-29
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43835183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist