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NPI Code Detail

MEDICARE: EDWARD K NGO MD

MEDICARE: EDWARD K 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
1207Q00000XFamily Medicine PhysicianBP10025404TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28CC385OTHERTXBCBSTX

General Provider Information

NPI Number : 1508072679
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD K NGO MD
Provider Business Mailing Address
First Line : 2840 LEGACY DR
Second Line : BLDG. 400
City : FRISCO
State : TX
Zip : 75034-6049
Country : US
Telephone Number : 972-712-3652
Fax Number : 214-618-3614
Provider Business Practice Location Address
First Line : 2840 LEGACY DR
Second Line : BLDG. 400
City : FRISCO
State : TX
Zip : 75034-6049
Country : US
Telephone Number : 972-712-3652
Fax Number : 214-618-3614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 06/08/2010

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Directions to “ EDWARD K NGO MD” Practice Location

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