Healthcare Provider Details
I. General information
NPI: 1497550131
Provider Name (Legal Business Name): BNH MEDICAL GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/17/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18002 LEANDER TRACT LN
CYPRESS TX
77433-6984
US
IV. Provider business mailing address
15174 POST OAK FALLS DR
CYPRESS TX
77433-7029
US
V. Phone/Fax
- Phone: 832-531-1549
- Fax:
- Phone: 832-531-1549
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DUY
HOANG
Title or Position: PRESIDENT
Credential: DO
Phone: 832-531-1549