Active NPI
Paul Hoang, D.O.
- Pain Medicine Physician
- Victoria, TX
National Provider Identifier
1043357460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- K3239
- Practice address
- 115 Medical Dr
Suite 105
Victoria, TX 77904-3102 - Phone
- (361) 575-2882
- Fax
- (361) 574-9710
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | K3239 | TX | Primary |
Addresses
Primary practice location
115 Medical Dr
Suite 105
Victoria, TX 77904-3102
Mailing address
115 Medical Dr
Suite 105
Victoria, TX 77904-3102
Phone (361) 575-2882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042972201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda O. Wilson M.D. P.a. | Past | Accepting new patients | |
| Far West Imaging LP | Past | Accepting new patients | |
| Alamo City MRI LP | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- San Antonio, TX
- NPI 1154526945
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1760140347
-
- Specialist
- Victoria, TX
- NPI 1093757569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1043357460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MEDICAL DR",
"address_2": "SUITE 105",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043102",
"telephone_number": "361-575-2882",
"fax_number": "361-574-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MEDICAL DR",
"address_2": "SUITE 105",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043102",
"telephone_number": "361-575-2882",
"fax_number": "361-574-9710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "PAUL",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "K3239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042972201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.