| Dr Thomas T Hoang, MD | |
|
2604 Saint Michael Dr Ste 425, Texarkana, TX 75503 | |
| (903) 614-5600 | |
| (903) 614-5630 |
| Full Name | Dr Thomas T Hoang |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 2604 Saint Michael Dr Ste 425, Texarkana, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730143975 | NPI | - | NPPES |
| 043028201 | Medicaid | TX | |
| 200722750A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | J0836 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | C H Wilkinson Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20041203000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas T Hoang, MD 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503-2378 Ph: (903) 614-5600 | Dr Thomas T Hoang, MD 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503 Ph: (903) 614-5600 |
Augusto Cuellar, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3515 Arista Blvd, # 511, Texarkana, TX 75503 Phone: 430-200-9500 Fax: 903-200-6057 | |
Harry Kourlis Jr., MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503 Phone: 903-614-5630 |