Individual provider Active NPI

Tung Van Hoang, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1578038527
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139125 Issued in TX
Practice address
806 10TH Ave
Port Arthur, TX 77642-3127
Phone
(409) 332-9944
NPI assigned
Oct 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139125 TX Primary

Addresses

Primary practice location

806 10TH Ave
Port Arthur, TX 77642-3127

Mailing address

806 10TH Ave
Port Arthur, TX 77642-3127
Phone (409) 332-9944

Other names 1

  • Mr. Tung Van Hoang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181110000128 TX Practitioner - Nurse Practitioner 9931453966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Standard Medical Clinic, PA 4 clinicians

Practice addresses (Care Compare)

3712 Gulfway Dr
Port Arthur, TX 77642-2828
Phone (409) 729-9200

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139125TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Standard Medical Clinic, PA Family CurrentSince Oct 5, 2018 Accepting new patients
KR Wellness Solutions PA Family CurrentSince Jul 1, 2025 Accepting new patients

Locations

2400 Highway 365
Ste 108
Nederland, TX 77627
Phone (409) 724-3053

190 Strickland Dr
Orange, TX 77630
Phone (409) 920-4037

8333 9th Ave
Ste A
Port Arthur, TX 77642
Phone (409) 272-2808

3712 Gulfway Dr
Port Arthur, TX 77642
Phone (409) 332-4300

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1578038527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 10TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776423127",
            "telephone_number": "409-332-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 10TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776423127",
            "telephone_number": "409-332-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "TUNG",
        "middle_name": "VAN",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUNG",
            "last_name": "HOANG",
            "middle_name": "VAN",
            "prefix": "MR.",
            "credential": "MSN, APRN, FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.