Provider Demographics
NPI:1962733568
Name:HO, KHOA DANG (DC)
Entity type:Individual
Prefix:DR
First Name:KHOA
Middle Name:DANG
Last Name:HO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 N LOOP 1604 W
Mailing Address - Street 2:10103
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4677
Mailing Address - Country:US
Mailing Address - Phone:808-381-0082
Mailing Address - Fax:
Practice Address - Street 1:1703 N LOOP 1604 W
Practice Address - Street 2:10103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4677
Practice Address - Country:US
Practice Address - Phone:808-381-0082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor