Provider Demographics
NPI:1447859913
Name:HOANG, THUYUYEN NGOC (OD)
Entity type:Individual
Prefix:
First Name:THUYUYEN
Middle Name:NGOC
Last Name:HOANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18040 SATURN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-4500
Mailing Address - Country:US
Mailing Address - Phone:281-333-8600
Mailing Address - Fax:
Practice Address - Street 1:18040 SATURN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-4500
Practice Address - Country:US
Practice Address - Phone:281-333-8600
Practice Address - Fax:281-333-4800
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-25
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9939152W00000X
TX9939TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty