Provider Demographics
NPI:1841360211
Name:HA, HUONG (OD)
Entity type:Individual
Prefix:DR
First Name:HUONG
Middle Name:
Last Name:HA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1553 TAHOE CT
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2088
Mailing Address - Country:US
Mailing Address - Phone:409-744-4600
Mailing Address - Fax:409-744-4601
Practice Address - Street 1:6702 SEAWALL BLVD
Practice Address - Street 2:STE. A
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-2026
Practice Address - Country:US
Practice Address - Phone:409-744-4600
Practice Address - Fax:409-744-4601
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06641152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist