Provider Demographics
NPI:1336229467
Name:HOANG, JOSEPH DUNG (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DUNG
Last Name:HOANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8104 S PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-5225
Mailing Address - Country:US
Mailing Address - Phone:405-686-7888
Mailing Address - Fax:405-686-7808
Practice Address - Street 1:8104 S PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-5225
Practice Address - Country:US
Practice Address - Phone:405-686-7888
Practice Address - Fax:405-686-7808
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3631111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor