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1134614910

NPI Code Detail

MEDICARE: SANDRA HOANG NGO MD

MEDICARE: SANDRA HOANG NGO MD

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
1	208000000X	Pediatrics Physician	4301504972	MI
2	2080P0207X	Pediatric Hematology & Oncology Physician	V9951	TX

General Provider Information

NPI Number	:	1134614910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA HOANG NGO MD

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:	DIVISION OF HOSPITAL BASED MEDICINE
City	:	DALLAS
State	:	TX
Zip	:	75390
Country	:	US
Telephone Number	:	469-626-8512
Fax Number	:	214-645-0078

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7201
Country	:	US
Telephone Number	:	469-626-8512
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2018
Last Update Date	:	06/15/2026

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Directions to “ SANDRA HOANG NGO MD” Practice Location

Language	Start Address	Practice Location

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