MEDICARE: DIANE DUONG

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	363L00000X	Nurse Practitioner	1139556	TX

General Provider Information

NPI Number	:	1487354155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE DUONG

Provider Business Mailing Address
First Line	:	2223 MILL CREEK DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-5246
Country	:	US
Telephone Number	:	281-857-7409
Fax Number	:

Provider Business Practice Location Address
First Line	:	2223 MILL CREEK DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-5246
Country	:	US
Telephone Number	:	281-857-7409
Fax Number	:

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

Provider Enumeration Date	:	03/09/2023
Last Update Date	:	07/02/2024

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Directions to “ DIANE DUONG ” Practice Location

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