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NPI Code Detail

MEDICARE: HUONG MAI TONNU AGNP-C

MEDICARE:   HUONG MAI TONNU  AGNP-C
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
1363LG0600XGerontology Nurse Practitioner1152793TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28XZ030OTHERTXBCBS

General Provider Information

NPI Number : 1184469389
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUONG MAI TONNU AGNP-C
Provider Business Mailing Address
First Line : 18333 EGRET BAY BLVD STE 140
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3239
Country : US
Telephone Number : 281-332-3001
Fax Number : 281-332-3005
Provider Business Practice Location Address
First Line : 13719 CORKEN WAY CT
Second Line :
City : HOUSTON
State : TX
Zip : 77034-2365
Country : US
Telephone Number : 832-283-9106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2024
Last Update Date : 03/11/2026

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Directions to “ HUONG MAI TONNU AGNP-C” Practice Location

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