MEDICARE: MR. PAUL T TRUONG RRT

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	2279P1005X	Pulmonary Rehabilitation Registered Respiratory Therapist	54813	TX

General Provider Information

NPI Number	:	1629273172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL T TRUONG RRT

Provider Business Mailing Address
First Line	:	30723 VICTORIA ESTATES DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-2699
Country	:	US
Telephone Number	:	281-296-7135
Fax Number	:

Provider Business Practice Location Address
First Line	:	2352 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3700
Country	:	US
Telephone Number	:	281-587-8880
Fax Number	:	281-587-8881

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

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	07/08/2007

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