Provider Demographics
NPI:1205275864
Name:DOAN, PHUONG ANH (OD)
Entity type:Individual
Prefix:DR
First Name:PHUONG
Middle Name:ANH
Last Name:DOAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12620 FM 1960 RD W STE C2
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5364
Mailing Address - Country:US
Mailing Address - Phone:281-407-4886
Mailing Address - Fax:281-819-1423
Practice Address - Street 1:12620 FM 1960 RD W STE C2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5364
Practice Address - Country:US
Practice Address - Phone:281-407-4886
Practice Address - Fax:281-819-1423
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8226-T152W00000X
TX8226-TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist