Provider Demographics
NPI:1881717379
Name:HOANG, RICHARD D (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:HOANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10904 SCARSDALE BLVD
Mailing Address - Street 2:SUITE 258
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089
Mailing Address - Country:US
Mailing Address - Phone:281-481-6170
Mailing Address - Fax:281-481-6178
Practice Address - Street 1:10904 SCARSDALE BLVD
Practice Address - Street 2:SUITE 258
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089
Practice Address - Country:US
Practice Address - Phone:281-481-6170
Practice Address - Fax:281-481-6178
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609257Medicare ID - Type Unspecified
U74816Medicare UPIN