Doctor Name: | MR. HUNG TRONG DAO |
NPI Number: | 1477810877 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G1286 |
Business Practice Address: | 829 10th Street Huntsville, TX - 773204721 |
Business Phone Number: | 9362919172 |
Business Fax Number: | 9362917156 |
Mailing Address: | 829 10th Street, HUNTSVILLE |
State: | TX |
Postal Code: | 773204721 |
Phone Number: | 9362919172 |
Fax Number: | 9362917156 |
NPI Enumeration Date: | 04/23/2012 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G1286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |