Provider Demographics
NPI:1962666230
Name:HANH TRUONG, M.D., PA
Entity Type:Organization
Organization Name:HANH TRUONG, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-265-5505
Mailing Address - Street 1:16651 SOUTHWEST FWY STE 340
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2348
Mailing Address - Country:US
Mailing Address - Phone:281-265-5505
Mailing Address - Fax:281-277-6513
Practice Address - Street 1:16651 SOUTHWEST FWY STE 340
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2348
Practice Address - Country:US
Practice Address - Phone:281-265-5505
Practice Address - Fax:281-277-6513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0563173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG53335Medicare UPIN