Provider Demographics
NPI:1801821699
Name:HOANG, THU ANH (MD)
Entity Type:Individual
Prefix:DR
First Name:THU
Middle Name:ANH
Last Name:HOANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:ANH
Other - Last Name:HOANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:P.O. BOX 4356
Mailing Address - Street 2:DEPARTMENT 667
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4356
Mailing Address - Country:US
Mailing Address - Phone:281-586-3888
Mailing Address - Fax:281-440-2028
Practice Address - Street 1:837 FM 1960 WEST
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-0000
Practice Address - Country:US
Practice Address - Phone:281-586-3888
Practice Address - Fax:281-440-2020
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2925207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122337207Medicaid
TX122337205Medicaid
TX122337208Medicaid
TX012233720Medicaid
TX122337209Medicaid
TX8J6377Medicare PIN
TX8J1936Medicare ID - Type Unspecified
TX8L17459Medicare PIN
TX122337207Medicaid
TX8J1935Medicare ID - Type Unspecified
TX81471NMedicare ID - Type Unspecified
TX122337208Medicaid