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NPI Code Detail

MEDICARE: ANGELA DUONG

MEDICARE: ANGELA DUONG
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
1124Q00000XDental Hygienist21681TX

General Provider Information

NPI Number : 1053001156
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA DUONG
Provider Business Mailing Address
First Line : 1642 DENNIS ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-1129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 MID LN STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77027-4466
Country : US
Telephone Number : 281-809-0204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2023
Last Update Date : 05/11/2023

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Directions to “ ANGELA DUONG ” Practice Location

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