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NPI Code Detail

MEDICARE: MR. TOM NGOC HO R.PH.

MEDICARE:  MR. TOM NGOC HO  R.PH.
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
1183500000XPharmacist37214TX

General Provider Information

NPI Number : 1548598444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TOM NGOC HO R.PH.
Provider Business Mailing Address
First Line : 2401 RANCH ROAD 620 S
Second Line :
City : LAKEWAY
State : TX
Zip : 78738-5603
Country : US
Telephone Number : 512-263-7887
Fax Number : 512-263-8540
Provider Business Practice Location Address
First Line : 2401 RANCH ROAD 620 S
Second Line :
City : LAKEWAY
State : TX
Zip : 78738-5603
Country : US
Telephone Number : 512-263-7887
Fax Number : 512-263-8540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2009
Last Update Date : 12/04/2009

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Directions to “ MR. TOM NGOC HO R.PH.” Practice Location

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