MEDICARE: DR. CAN HOANG DUONG M.D.

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	207V00000X	Obstetrics & Gynecology Physician	026299	LA
2	207V00000X	Obstetrics & Gynecology Physician	PENDING	TX
3	207VG0400X	Gynecology Physician	026299	LA
4	207VG0400X	Gynecology Physician	PENDING	TX
5	207VX0000X	Obstetrics Physician	026299	LA
6	207VX0000X	Obstetrics Physician	PENDING	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1871536896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAN HOANG DUONG M.D.

Provider Business Mailing Address
First Line	:	7915 RANIC DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-1720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 NORTH FWY
Second Line	:	SUITE 110
City	:	HOUSTON
State	:	TX
Zip	:	77076-2941
Country	:	US
Telephone Number	:	713-695-0002
Fax Number	:	713-695-0101

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	06/22/2011

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Directions to “ DR. CAN HOANG DUONG M.D.” Practice Location

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