Provider Demographics
NPI:1932526894
Name:HUNG VAN DOAN
Entity type:Organization
Organization Name:HUNG VAN DOAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST & HERBALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HUNG
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:281-946-9938
Mailing Address - Street 1:9001 FOREST CROSSING DRIVE, SUITE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77381
Mailing Address - Country:US
Mailing Address - Phone:713-377-1832
Mailing Address - Fax:
Practice Address - Street 1:9001 FOREST CROSSING DRIVE, SUITE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77381
Practice Address - Country:US
Practice Address - Phone:713-377-1832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01499171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty