Provider Demographics
NPI:1639333933
Name:HOANG, BAO T (OD)
Entity Type:Individual
Prefix:DR
First Name:BAO
Middle Name:T
Last Name:HOANG
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:28818 CINCO RANCH BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494
Mailing Address - Country:US
Mailing Address - Phone:832-338-7244
Mailing Address - Fax:
Practice Address - Street 1:1740 W 27TH ST STE 180
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1435
Practice Address - Country:US
Practice Address - Phone:713-864-8652
Practice Address - Fax:713-864-2865
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2016-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7254TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist