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NPI Code Detail

MEDICARE: DR. HIEU TRONG DO MD

MEDICARE: DR. HIEU TRONG DO MD
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
1207Q00000XFamily Medicine Physician75279MN
2207Q00000XFamily Medicine Physician348457LA
3390200000XStudent in an Organized Health Care Education/Training Program
4152W00000XOptometrist6830 TGTX

General Provider Information

NPI Number : 1437107406
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HIEU TRONG DO MD
Provider Business Mailing Address
First Line : 2230 S SAVANNAH LAKES DR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70607-8849
Country : US
Telephone Number : 832-800-7354
Fax Number :
Provider Business Practice Location Address
First Line : 2230 S SAVANNAH LAKES DR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70607
Country : US
Telephone Number : 832-800-7354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 09/11/2025

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