Provider Demographics
NPI:1730143975
Name:HOANG, THOMAS T (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:T
Last Name:HOANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2604 SAINT MICHAEL DR STE 425
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2378
Mailing Address - Country:US
Mailing Address - Phone:903-614-5600
Mailing Address - Fax:903-614-5630
Practice Address - Street 1:2604 SAINT MICHAEL DR STE 425
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503
Practice Address - Country:US
Practice Address - Phone:903-614-5600
Practice Address - Fax:903-614-5630
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2021-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ0836208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043028201Medicaid
OK200722750AMedicaid
TX043028201Medicaid