Provider Demographics
NPI:1912998618
Name:TRUONG, HANH HOANG (MD)
Entity Type:Individual
Prefix:DR
First Name:HANH
Middle Name:HOANG
Last Name:TRUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16651 SOUTHWEST FWY
Mailing Address - Street 2:#340
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2345
Mailing Address - Country:US
Mailing Address - Phone:281-265-5505
Mailing Address - Fax:281-277-6513
Practice Address - Street 1:16651 SOUTHWEST FWY
Practice Address - Street 2:#340
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2345
Practice Address - Country:US
Practice Address - Phone:281-265-5505
Practice Address - Fax:281-277-6513
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0563207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00170LMedicare ID - Type Unspecified
G53335Medicare UPIN