Individual
DR. MAI VY HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3408 OLSEN BLVD, AMARILLO, TX 79109
(806) 355-5633
(806) 355-9133
Mailing address
3408 OLSEN BLVD, AMARILLO, TX 79109
(806) 355-5633
(806) 355-9133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7599T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215984001
—
TX
01
—
83133Q
BCBS
TX
Enumeration date
07/13/2010
Last updated
01/03/2012
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