Provider Demographics
NPI:1750451803
Name:HA, TAM ANH (OD)
Entity Type:Individual
Prefix:DR
First Name:TAM ANH
Middle Name:
Last Name:HA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:TAM
Other - Middle Name:
Other - Last Name:HA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:17418 FARM PASTURE TRL
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-5348
Mailing Address - Country:US
Mailing Address - Phone:281-788-6639
Mailing Address - Fax:
Practice Address - Street 1:9614 JONES RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4302
Practice Address - Country:US
Practice Address - Phone:281-890-7595
Practice Address - Fax:281-890-7104
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6586TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist