Healthcare Provider Details

I. General information

NPI: 1629175955
Provider Name (Legal Business Name): DIEM HONG TRUONG PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6630 DE MOSS STREET
HOUSTON TX
77074
US

IV. Provider business mailing address

7300 BROMPTON ST # 5422
HOUSTON TX
77025-2180
US

V. Phone/Fax

Practice location:
  • Phone: 713-272-2600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43437
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: