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NPI Code Detail

MEDICARE: LINH LUONG

MEDICARE: LINH LUONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1017592TX
2163WE0003XEmergency Registered Nurse903560TX

General Provider Information

NPI Number : 1053921171
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINH LUONG
Provider Business Mailing Address
First Line : PO BOX 749495
Second Line :
City : ATLANTA
State : GA
Zip : 30374-9495
Country : US
Telephone Number : 855-963-2100
Fax Number :
Provider Business Practice Location Address
First Line : 925 GESSNER RD STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2645
Country : US
Telephone Number : 713-827-9525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2020
Last Update Date : 06/02/2026

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Directions to “ LINH LUONG ” Practice Location

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