Individual
BO HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 PRESTON AVE, PASADENA, TX 77503-1215
(832) 660-8409
Mailing address
15954 LANGHAMWOOD LN, HOUSTON, TX 77084-2579
(303) 261-7634
(281) 815-3614
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35307323
DRIVER LICENSE
TX
Enumeration date
09/13/2018
Last updated
09/13/2018
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