MEDICARE: MICHAEL NGO D.O. AMERICAN BOARD OF INTERNAL MEDICINE CERTIFIED PLLC

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	207R00000X	Internal Medicine Physician	Q7760	TX

General Provider Information

NPI Number	:	1457898702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL NGO D.O. AMERICAN BOARD OF INTERNAL MEDICINE CERTIFIED PLLC

Provider Business Mailing Address
First Line	:	11130 DRUMADOON DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2036
Country	:	US
Telephone Number	:	714-331-5725
Fax Number	:

Provider Business Practice Location Address
First Line	:	11130 DRUMADOON DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2036
Country	:	US
Telephone Number	:	714-331-5725
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	MICHAEL NGO
Credential	:	D.O
Telephone Number	:	714-331-5725

Provider Enumeration Date	:	01/25/2017
Last Update Date	:	02/17/2017

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