Individual
CUC HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 THROCKMORTON ST, #2002, FORT WORTH, TX 76102-3708
(214) 923-3508
Mailing address
500 THROCKMORTON ST, #2002, FORT WORTH, TX 76102-3708
(214) 923-3508
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
638585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157192906
—
TX
01
—
89782U
BCBSTX
TX
Enumeration date
02/02/2006
Last updated
06/28/2010
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