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Individual

HOAN Q PHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10007 HUEBNER RD, STE 106, SAN ANTONIO, TX 78240-1646
(210) 541-4164
(210) 541-4168
Mailing address
10007 HUEBNER RD, STE 106, SAN ANTONIO, TX 78240-1646
(210) 541-4164
(210) 541-4168

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J 7359
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110231814
RAILROAD MEDICARE
05
O46107101 TX
TX
Enumeration date
08/09/2005
Last updated
08/21/2018
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