MEDICARE: DR. THUY NGOC NGO DMD

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	1223G0001X	General Practice Dentistry	23389	TX

General Provider Information

NPI Number	:	1407042831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THUY NGOC NGO DMD

Provider Business Mailing Address
First Line	:	6060 BELLAIRE BLVD
Second Line	:	SUITE G
City	:	HOUSTON
State	:	TX
Zip	:	77081-5425
Country	:	US
Telephone Number	:	713-664-7068
Fax Number	:	713-664-7395

Provider Business Practice Location Address
First Line	:	6060 BELLAIRE BLVD
Second Line	:	SUITE G
City	:	HOUSTON
State	:	TX
Zip	:	77081-5425
Country	:	US
Telephone Number	:	713-664-7068
Fax Number	:	713-664-7395

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

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	09/19/2007

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