Provider Demographics
NPI:1861651804
Name:HO, HOANG MY (MD, DABFM)
Entity Type:Individual
Prefix:DR
First Name:HOANG
Middle Name:MY
Last Name:HO
Suffix:
Gender:F
Credentials:MD, DABFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 RAINTREE CIR STE 240B
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4901
Mailing Address - Country:US
Mailing Address - Phone:214-644-0282
Mailing Address - Fax:214-644-0295
Practice Address - Street 1:1111 RAINTREE CIR STE 240B
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4901
Practice Address - Country:US
Practice Address - Phone:214-644-0282
Practice Address - Fax:214-644-0295
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6355207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program