MEDICARE: DR. DONNY LUONG DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	006681	NY
2	213ES0103X	Foot & Ankle Surgery Podiatrist	2134	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P01571967	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326437534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNY LUONG DPM

Provider Business Mailing Address
First Line	:	8333 BEECHNUT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-6853
Country	:	US
Telephone Number	:	281-888-9920
Fax Number	:	281-974-2394

Provider Business Practice Location Address
First Line	:	8333 BEECHNUT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-6853
Country	:	US
Telephone Number	:	281-888-9920
Fax Number	:	281-974-2394

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2015
Last Update Date	:	02/23/2017

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Directions to “ DR. DONNY LUONG DPM” Practice Location

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