Organization
ATASCOCITA PRIMARY CARE, PA
Active
Other names
Atascocita Primary Care, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUONG QUYNH HOANG MD (PRESIDENT)
(281) 852-9500
Entity
Organization
Contact information
Practice address
18700 W LAKE HOUSTON PKWY, STE A104, HUMBLE, TX 77346-3349
(281) 852-9500
(281) 852-9755
Mailing address
18700 W LAKE HOUSTON PKWY, STE A104, HUMBLE, TX 77346-3349
(281) 852-9500
(281) 852-9755
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K5556
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099MY
BCBS
TX
01
—
DE2075
MEDICARE RAILROAD
TX
Enumeration date
12/29/2005
Last updated
07/11/2015
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