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NPI Code Detail

MEDICARE: CINDY NG DO

MEDICARE: CINDY NG DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207QS0010XSports Medicine (Family Medicine) PhysicianT2229TX

General Provider Information

NPI Number : 1154826386
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY NG DO
Provider Business Mailing Address
First Line : 74 REGENCY PKWY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-7816
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 74 REGENCY PKWY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-7816
Country : US
Telephone Number : 817-419-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2018
Last Update Date : 02/27/2023

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Directions to “ CINDY NG DO” Practice Location

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