Provider Demographics
NPI:1932101268
Name:HOANG, THANG DINH (MD)
Entity Type:Individual
Prefix:DR
First Name:THANG
Middle Name:DINH
Last Name:HOANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 BROADWAY ST
Mailing Address - Street 2:STE 110
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5666
Mailing Address - Country:US
Mailing Address - Phone:281-482-9994
Mailing Address - Fax:281-482-2231
Practice Address - Street 1:1816 BROADWAY ST
Practice Address - Street 2:STE 110
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5666
Practice Address - Country:US
Practice Address - Phone:281-482-9994
Practice Address - Fax:281-482-2231
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7167207R00000X, 208000000X, 208D00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147410803Medicaid
TX167045701Medicaid
TX167045702Medicaid
TX147410802Medicaid
TX8B9016Medicare PIN
TX147410802Medicaid