Provider Demographics
NPI:1215949581
Name:HOA T. NGUYEN OD AND ASSOCIATES, PA
Entity type:Organization
Organization Name:HOA T. NGUYEN OD AND ASSOCIATES, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOA
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-395-0049
Mailing Address - Street 1:1830 S MASON RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6148
Mailing Address - Country:US
Mailing Address - Phone:281-395-0049
Mailing Address - Fax:281-395-0054
Practice Address - Street 1:1830 S MASON RD
Practice Address - Street 2:SUITE 130
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6148
Practice Address - Country:US
Practice Address - Phone:281-395-0049
Practice Address - Fax:281-395-0054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6605TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W903Medicare PIN