Provider Demographics
NPI:1427157411
Name:HOANG, QUYEN N (OD)
Entity type:Individual
Prefix:DR
First Name:QUYEN
Middle Name:N
Last Name:HOANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:QUYEN
Other - Middle Name:N
Other - Last Name:HOANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:12353 FM 1960 RD W
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4993
Mailing Address - Country:US
Mailing Address - Phone:281-955-9774
Mailing Address - Fax:281-955-9774
Practice Address - Street 1:12353 FM 1960 RD W
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4993
Practice Address - Country:US
Practice Address - Phone:281-955-9774
Practice Address - Fax:281-955-9774
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6076T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist