Provider Demographics
NPI:1609103340
Name:HOANG, TRAN THUC (PHARMD)
Entity Type:Individual
Prefix:
First Name:TRAN
Middle Name:THUC
Last Name:HOANG
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 1:28426 TOMBALL PKWY
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-6426
Mailing Address - Country:US
Mailing Address - Phone:281-357-0024
Mailing Address - Fax:281-357-4464
Practice Address - Street 1:28426 TOMBALL PKWY
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6426
Practice Address - Country:US
Practice Address - Phone:281-357-0024
Practice Address - Fax:281-357-4464
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42811183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1356356356Medicaid
TX1356356356Medicare Oscar/Certification
TX1356356356Medicare NSC
TX1356356356Medicare PIN
TX1356356356Medicare UPIN