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Individual

JOHANNA HOANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
16525 LEXINGTON BLVD STE 260, SUGAR LAND, TX 77479-2589
(800) 404-6050
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 318-3007
(210) 468-0682

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
15171
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15171
CHIROPRACTIC LICENSE
TX
Enumeration date
05/11/2022
Last updated
10/18/2023
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