Basic Information
| Provider Information | |||||||||
| NPI: | 1841725769 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOU | ||||||||
| FirstName: | ANGELA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1900 N BEAUREGARD ST STE 110 | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223111716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7032127546 | ||||||||
| FaxNumber: | 7032127282 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 N BEAUREGARD ST STE 110 | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223111716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7032127546 | ||||||||
| FaxNumber: | 7032127282 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2017 | ||||||||
| LastUpdateDate: | 05/24/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207N00000X | 0101272122 | VA | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.