Individual provider Active NPI

Paul Hoang, D.O.

  • Pain Medicine Physician
  • Victoria, TX
National Provider Identifier
1043357460
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
K3239 Issued in TX
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

Updated by the provider on Oct 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
042972201MedicaidTX

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

OrganizationSpecialtyStatusNew patients
Linda O. Wilson M.D. P.a. Past Accepting new patients
Far West Imaging LP PastSince Apr 1, 2022 Accepting new patients
Alamo City MRI LP PastSince Aug 21, 2007 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.

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.

Verify at the official NPI Registry.