MEDICARE: TRONG VO DPT

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	225100000X	Physical Therapist	1340761	TX

General Provider Information

NPI Number	:	1629663802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRONG VO DPT

Provider Business Mailing Address
First Line	:	4610 SWEETWATER BLVD STE 120
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3151
Country	:	US
Telephone Number	:	281-242-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	11515 CHIMNEY ROCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-2905
Country	:	US
Telephone Number	:	281-242-5252
Fax Number	:

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

Provider Enumeration Date	:	03/09/2021
Last Update Date	:	03/09/2021

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Directions to “ TRONG VO DPT” Practice Location

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