Individual
MARY THERESA VU HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
607 TIMBERDALE LN, SUITE 201, HOUSTON, TX 77090-3049
(281) 440-3005
(281) 444-9070
Mailing address
607 TIMBERDALE LN, SUITE 201, HOUSTON, TX 77090-3049
(281) 440-3005
(281) 444-9070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M8042
TX
207RN0300X
Nephrology Physician
Primary
M8042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196278901
—
TX
01
—
8F6675
BCBSTX
TX
Enumeration date
02/25/2008
Last updated
09/14/2011
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