Provider Demographics
NPI:1356577282
Name:TRUONG, HUNG HOANG (MD)
Entity type:Individual
Prefix:DR
First Name:HUNG
Middle Name:HOANG
Last Name:TRUONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:122 W JOHN CARPENTER FWY STE 420
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2014
Mailing Address - Country:US
Mailing Address - Phone:972-957-3000
Mailing Address - Fax:972-957-3005
Practice Address - Street 1:1111 W AIRPORT FWY STE 143
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062
Practice Address - Country:US
Practice Address - Phone:469-488-4500
Practice Address - Fax:469-488-4501
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP3261208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBP10034712OtherLICENSE
TXP3261OtherPROFESSIONAL LICENSE