Provider Demographics
NPI:1801982335
Name:HOANG, MAI V (MD)
Entity type:Individual
Prefix:
First Name:MAI
Middle Name:V
Last Name:HOANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4045 E BELKNAP ST STE 12
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76111-6637
Mailing Address - Country:US
Mailing Address - Phone:817-759-2315
Mailing Address - Fax:817-759-2316
Practice Address - Street 1:4045 E BELKNAP ST
Practice Address - Street 2:#12
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76111-6638
Practice Address - Country:US
Practice Address - Phone:817-759-2315
Practice Address - Fax:817-759-2316
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-02-24
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Provider Licenses
StateLicense IDTaxonomies
TXK7766207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D9639Medicare PIN