Provider Demographics
NPI:1992912729
Name:HOANG, HUONG (TINA) THANH (OTR)
Entity type:Individual
Prefix:
First Name:HUONG (TINA)
Middle Name:THANH
Last Name:HOANG
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 OLD FARM RD APT 1521
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4439
Mailing Address - Country:US
Mailing Address - Phone:713-398-0033
Mailing Address - Fax:
Practice Address - Street 1:2500 OLD FARM RD APT 1521
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4439
Practice Address - Country:US
Practice Address - Phone:713-398-0033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104138225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist